MEDICARE: PHYSIOTHERAPY OF EL PASO, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	619810000	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124035050
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSIOTHERAPY OF EL PASO, P.C.

Provider Business Mailing Address
First Line	:	6358 EDGEMERE BLVD
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79925-3517
Country	:	US
Telephone Number	:	915-562-8525
Fax Number	:	915-566-3889

Provider Business Practice Location Address
First Line	:	6358 EDGEMERE BLVD
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79925-3517
Country	:	US
Telephone Number	:	915-562-8525
Fax Number	:	915-566-3889

Authorized Official
Title or Position	:	DIRECTOR OF PHYSICAL THERAPY
Name	:	HERMAN KOSTER
Credential	:	PT
Telephone Number	:	915-562-8525

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	07/24/2025

Similar Medicare Providers

1407810492 — MICHELLE B FOWLER PT
Practice Location Address:

6358 EDGEMERE BLVD
EL PASO, TX
79925-3517

Practice Phone: 915-562-8525
Practice Fax: 915-566-3889

1699723312 — DIABETIC SOLUTIONS, INC
Practice Location Address:

6344 EDGEMERE BLVD
EL PASO, TX
79925-3517

Practice Phone: 915-881-0800
Practice Fax: 915-881-0803

1831135318 — HERMAN ADRIAAN KOSTER PT
Practice Location Address:

6358 EDGEMERE BLVD
EL PASO, TX
79925-3517

Practice Phone: 915-562-8525
Practice Fax: 915-566-3889

1700812948 — MS. CLAUDIA MIRIAM GARDUNO MPT
Practice Location Address:

6358 EDGEMERE BLVD
EL PASO, TX
79925-3517

Practice Phone: 915-562-8525
Practice Fax: 915-566-3889

1407877293 — LETTY COUNSELING SERVICES INC.
Practice Location Address:

6354 EDGEMERE BLVD
EL PASO, TX
79925-3517

Practice Phone: 915-542-4200
Practice Fax: 915-542-4204

1548307366 — LETTY COUNSELING SERVICES, INC.
Practice Location Address:

6354 EDGEMERE BLVD
EL PASO, TX
79925-3517

Practice Phone: 915-542-4200
Practice Fax: 915-542-4204

Directions to “PHYSIOTHERAPY OF EL PASO, P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.