OrganizationPhysiotherapy Of El Paso, P.C.(Spine & Rehab Specialists)Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6358 Edgemere Blvd, El Paso, TX 79925-3517(915) 562-8525PECOS EnrollmentBased on the most recent information from CMS, provider Physiotherapy Of El Paso, P.C. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1124035050Provider TypeOrganizationFull NamePhysiotherapy Of El Paso, P.C.Other NameSpine & Rehab SpecialistsSubpartNoEnumeration Date8/2/2006Last Updated4/17/2014Contact InformationPractice LocationPractice Address6358 Edgemere Blvd, El Paso, TX 79925-3517Phone(915) 562-8525Fax(915) 566-3889Mailing LocationMailing Address6358 Edgemere Blvd, El Paso, TX 79925-3517Phone(915) 562-8525Fax(915) 566-3889Authorized OfficialNameKoster, Herman (Director Of Physical Therapy)Phone(915) 562-8525Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense619810000TexasProvider IdentifiersIDDescriptionIssuerID145488601DescriptionMedicaidIssuerUnlistedTexas