Individual provider Active NPI

Alyssa Mariel Valdez, PHYSICAL THERAPIST

  • Physical Therapist
  • El Paso, TX
National Provider Identifier
1972914455
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1240446 Issued in TX
Practice address
4242 Hondo Pass Dr
Ste,110
El Paso, TX 79904-1205
Phone
(915) 751-0595
Fax
(915) 751-0599
NPI assigned
May 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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 1240446 TX Primary

Addresses

Primary practice location

4242 Hondo Pass Dr
Ste,110
El Paso, TX 79904-1205

Mailing address

2280 Trawood Dr
El Paso, TX 79935-3020
Phone (915) 595-3535

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1240446TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1972914455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 TRAWOOD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353020",
            "telephone_number": "915-595-3535",
            "fax_number": "915-595-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 HONDO PASS DR",
            "address_2": "STE,110",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799041205",
            "telephone_number": "915-751-0595",
            "fax_number": "915-751-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "ALYSSA",
        "middle_name": "MARIEL",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1240446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 19, 2014; 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.