MEDICARE: EL PASO PHYSICAL THERAPY SPECIALISTS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QR0400X	Rehabilitation Clinic/Center
2	261QP2000X	Physical Therapy Clinic/Center
3	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1821619115
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EL PASO PHYSICAL THERAPY SPECIALISTS LLC

Provider Business Mailing Address
First Line	:	6151 DEW DR STE 300
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-3912
Country	:	US
Telephone Number	:	915-581-9606
Fax Number	:	915-590-9165

Provider Business Practice Location Address
First Line	:	6151 DEW DR STE 300
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-3912
Country	:	US
Telephone Number	:	915-581-9606
Fax Number	:	915-590-9165

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	RODOLPHO MARIN
Credential	:
Telephone Number	:	915-490-1726

Provider Enumeration Date	:	04/28/2020
Last Update Date	:	02/10/2026

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