NPI Code Details Logo

NPI 1457229114

NPI 1457229114 : DESERT PEAK PHYSICAL THERAPY PLLC : EL PASO, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1457229114
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    DESERT PEAK PHYSICAL THERAPY PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/24/2025
-----------------------------------------------------
    Last Update Date     |    02/05/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2301 N ZARAGOZA RD STE 210 
-----------------------------------------------------
    City                 |    EL PASO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    79938-7998
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    915-289-9133
-----------------------------------------------------
    Fax                  |    833-680-2433
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3129 TIERRA LIMA DR 
-----------------------------------------------------
    City                 |    EL PASO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    79938-4527
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/PHYSICAL THERAPIST
-----------------------------------------------------
    Name                 |     MARCO ANTONIO SURIANO 
-----------------------------------------------------
    Credential           |    PT, DPT
-----------------------------------------------------
    Telephone            |    915-667-6369
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.