Individual provider Active NPI

Virginia L. Chacon, PT

  • Physical Therapist
  • El Paso, TX
National Provider Identifier
1942246152
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1065761 Issued in TX
Practice address
2900 Pershing Dr
Suite B
El Paso, TX 79903-2403
Phone
(915) 562-8525
Fax
(915) 566-3889
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1065761 TX Primary

Addresses

Primary practice location

2900 Pershing Dr
Suite B
El Paso, TX 79903-2403

Mailing address

6412 Pino Real Dr
El Paso, TX 79912-2926
Phone (915) 581-8434

Other names 1

  • Miss Virginia L. Mendias Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2715NMMDMental Health Counselor
1065761TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Real View Diagnostics LLC Physical Therapist Past Accepting new patients
Southwest Sport and Spine Center Inc Physical Therapist PastSince Apr 7, 2000 Accepting new patients
Physiotherapy of El Paso, P.C. Physical Therapist PastSince Jun 7, 2014 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1942246152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 PINO REAL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799122926",
            "telephone_number": "915-581-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 PERSHING DR",
            "address_2": "SUITE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799032403",
            "telephone_number": "915-562-8525",
            "fax_number": "915-566-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACON",
        "first_name": "VIRGINIA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1065761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "MENDIAS",
            "middle_name": "L.",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.