Individual ProviderBernadette Sepulveda, PT, DPTPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6601 Montana Ave Ste G&H, El Paso, TX 79925-2155(915) 838-7604PECOS EnrollmentBased on the most recent information from CMS, provider Bernadette Sepulveda 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 2 days ago.Profile DetailsProvider ID1821502048Provider TypeIndividualFull NameSepulveda, BernadetteCredentialPT, DPTGenderFemaleSole ProprietorYesEnumeration Date11/27/2017Last Updated11/27/2017Contact InformationPractice LocationPractice Address6601 Montana Ave Ste G&H, El Paso, TX 79925-2155Phone(915) 838-7604Fax(915) 772-4633Mailing LocationMailing Address6601 Montana Ave Ste G&H, El Paso, TX 79925-2155Phone(915) 838-7604Fax(915) 772-4633Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1294163Texas