MEDICARE: DESERT PEAK PHYSICAL THERAPY PLLC

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

General Provider Information

NPI Number	:	1457229114
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESERT PEAK PHYSICAL THERAPY PLLC

Provider Business Mailing Address
First Line	:	3129 TIERRA LIMA DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79938-4527
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2301 N ZARAGOZA RD STE 210
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79938-7998
Country	:	US
Telephone Number	:	915-289-9133
Fax Number	:

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

Provider Enumeration Date	:	10/24/2025
Last Update Date	:	10/24/2025

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