Active NPI
Rodolfo Marin Jr., PTA
- Physical Therapy Assistant
- El Paso, TX
National Provider Identifier
1992314835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2155300
- Practice address
- 7400 Viscount Blvd Ste 200
El Paso, TX 79925-4851 - Phone
- (915) 629-9260
- NPI assigned
- Jul 27, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2155300 | TX | Primary |
Addresses
Primary practice location
7400 Viscount Blvd Ste 200
El Paso, TX 79925-4851
Mailing address
4241 Camelot HTS
El Paso, TX 79912-6192
Phone (915) 861-6588
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2155300 | TX | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epic Health Services, Inc. | Current | Accepting new patients | |
| Epic Health Services, Inc. | Past | Accepting new patients |
Locations
7400 Viscount Blvd
Ste 200
El Paso, TX 79925
Phone (915) 629-9260
Organizations & group practices 2
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": "1595808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1992314835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4241 CAMELOT HTS",
"city": "EL PASO",
"state": "TX",
"postal_code": "799126192",
"telephone_number": "915-861-6588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 VISCOUNT BLVD STE 200",
"city": "EL PASO",
"state": "TX",
"postal_code": "799254851",
"telephone_number": "915-629-9260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIN",
"first_name": "RODOLFO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-27",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2155300",
"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 Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.