Jose Walterio Abarca, PHYSICAL THERAPY
Individual provider Active NPI Physical Therapist · El Paso, TX
NPI 1952880965 · NPPES record last updated Aug 9, 2018
Key facts
- NPI
- 1952880965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 11620 Tony Tejeda Dr
El Paso, TX 79936-6521 - Phone
- (915) 256-6319
- NPI assigned
- Aug 9, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1072155 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1072155 | TX | |
| Physical Therapist | 225100000X | TX | Yes |
Addresses
Primary practice location
11620 Tony Tejeda Dr
El Paso, TX 79936-6521
Mailing address
11620 Tony Tejeda Dr
El Paso, TX 79936-6521
Phone (915) 256-6319
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.