MR. GUSTAVO HERRERA JR. (NPI# 1275097941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275097941 |
| Entity Type | Individual |
| Full Name | MR. GUSTAVO HERRERA JR. |
| Credential | PTA |
| Practice Address |
10880 Edgemere Blvd El Paso TX 79935-1306 |
| Practice Telephone | 9155907800 |
| Mailing Telephone | 9155907800 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2096289 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306017280 | Gustavo D Herrera | Counselor | 1885 Lundy Ave, Suite #223, San Jose, CA 95131-1887 | 2008-03-18 |
| Street Address |
10880 EDGEMERE BLVD |
| City | EL PASO |
| State | TX |
| Zip Code | 79935-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093822033 | El Paso County Hospital District | Skilled Nursing Facility | 10880 Edgemere Blvd, El Paso, TX 79935-1306 | 2006-08-24 |
| 1497371280 | Brianna Lynn Moreno | Speech-Language Pathologist | 10880 Edgemere Blvd, El Paso, TX 79935-1306 | 2020-06-17 |
| 1699230425 | Fernie Cordova | Physical Therapist | 10880 Edgemere Blvd, El Paso, TX 79935-1306 | 2019-02-06 |
| 1679038731 | Guadalupe Dominguez Martinez | Physical Therapy Assistant | 10880 Edgemere Blvd, El Paso, TX 79935-1306 | 2019-02-04 |
| 1952866261 | Luis S Baeza | Occupational Therapy Assistant | 10880 Edgemere Blvd, El Paso, TX 79935-1306 | 2019-01-31 |
| 1639633381 | Alfredo Jurado | Physical Therapist | 10880 Edgemere Blvd, El Paso, TX 79935-1306 | 2019-01-28 |
| 1699150276 | James Edward Ontiveros | Speech-Language Pathologist | 10880 Edgemere Blvd, El Paso, TX 79935-1306 | 2015-07-24 |
| 1700944246 | Jeannetta Johnson-smith | Registered Nurse | 10880 Edgemere Blvd, El Paso, TX 79935-1306 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093261604 | Julio Alcala | Radiologic Technologist | 10291 Pellicano Suite 102, El Paso, TX 79935 | 2016-09-01 |
| 1760841423 | Anant Shukla | Preventive Medicine | Mendoza Aviation Clinic (11335 Ssg Sims Blvd), El Paso, TX 79935 | 2016-02-23 |
| 1306249834 | Ector County Hospital District | Skilled Nursing Facility | 1599 Lomaland Drive, El Paso, TX 79935 | 2014-09-29 |
| 1164831079 | Elizabeth Espinoza | Pharmacist | 2112 Trawood, El Paso, TX 79935 | 2014-08-05 |
| 1396151759 | The Lasik Vision Institute LLC | Clinic/Center | 10961 Gateway, Suite 300, El Paso, TX 79935 | 2014-07-07 |
| 1427461896 | Henry Vu | Optometrist | 10961 Gateway West, Ste 300, El Paso, TX 79935 | 2014-06-03 |
| 1982947636 | Novoa Medical Services, Pa | Obstetrics & Gynecology | 10781 Pebble Hills, Suite A, El Paso, TX 79935 | 2013-04-01 |
| 1366796724 | New Leaf Wellness Center | Counselor | 10921 Pellicano Dr Ste 110, El Paso, TX 79935 | 2012-11-06 |
| 1295980670 | Amy Latonia Hensley | Massage Therapist | 2278 Trawood Dr., Ste. C, El Paso, TX 79935 | 2008-11-26 |
| 1477752855 | Sunland Optical Co Inc | Durable Medical Equipment & Medical Supplies | 1156 Barranca, El Paso, TX 79935 | 2007-07-16 |
| Find all providers in zip 79935 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595309 | Marisol Munoz | Physical Therapy Assistant | 5532 Dennis Cavin Ln, El Paso, TX 79934-3281 | 2020-10-15 |
| 1912534223 | Grace Rodriguez | Physical Therapy Assistant | 1370 Emerald Gate Ln, El Paso, TX 79936-7261 | 2020-03-25 |
| 1740815695 | Cynthia Brown | Physical Therapy Assistant | 10800 Pico Norte Rd, El Paso, TX 79935-1932 | 2020-03-10 |
| 1942855416 | Kelly Maxwell | Physical Therapy Assistant | 6351 S Desert Blvd Bldg C, El Paso, TX 79932-1219 | 2019-08-01 |
| 1629554290 | Angelica Maria Sebesta | Physical Therapy Assistant | 6237 Franklin Ridge Dr, El Paso, TX 79912-7486 | 2018-07-17 |
| 1831542208 | Brittany Elise Goos | Physical Therapy Assistant | 10961 Gateway Blvd W, Suite #100, El Paso, TX 79935-4922 | 2016-07-20 |
| 1639537236 | Erin Floyd | Physical Therapy Assistant | 5041 Ballinger Dr, El Paso, TX 79924-1131 | 2016-02-10 |
| 1558735381 | Suzanne Nolan | Physical Therapy Assistant | 9451 Diana Dr, El Paso, TX 79924-6936 | 2015-11-17 |
| 1295106185 | Sameerah Ferguson | Physical Therapy Assistant | 11582 James Grant Dr, El Paso, TX 79936-5411 | 2015-10-17 |
| 1245606912 | Alejandro Salcido | Physical Therapy Assistant | 14328 Firewood Dr, El Paso, TX 79938-2735 | 2015-08-18 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.