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EFREN HERRERA P.T
NPI 1124258744
Physical Therapist in El Paso, TX

Active since July 16, 2009Accepts Medicare Assignment
836 E REDD RD, SUITE B, EL PASO, TX 79912(915) 845-4060(915) 845-4065 Get Directions Write a Review

NPPES record last updated: July 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Efren Herrera P.t NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EFREN HERRERA P.T (NPI 1124258744) is an individual physical therapist in El Paso, Texas, licensed in Texas (1189619) and active in the NPI registry since July 2009. He is a graduate of Other (2009).

NPPES Registry Identity

NPI1124258744
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameEFREN HERRERACredential: P.T
Location Address836 E REDD RD, SUITE BEl Paso, TX 79912-7221
Mailing Address2280 Trawood DrEl Paso, TX 79935-3020 · (915) 595-3535 · Fax (915) 595-3922
Phone(915) 845-4060
Fax(915) 845-4065
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 16, 2009
✔ NPI 1124258744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in TX · 1189619
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
836 E REDD RD, El Paso, TX 79912
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Efren Herrera P.t is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769536754
PECOS Enrollment IDI20090810000417

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
1,623 services82 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,398 services87 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
258 services24 patients
Therapy procedure using water pool to exercises, each 15 minutes 97113
This therapy involves exercising in a water pool for 15-minute intervals. The buoyancy of the water supports your body, reducing stress on joints and muscles. It's beneficial for improving strength, flexibility, and balance. It's a gentle, low-impact form of exercise suitable for all ages.
226 services11 patients
Therapy procedure in a group setting 97150
Group therapy involves meeting with a trained therapist alongside others facing similar challenges. It provides a supportive environment to share experiences, learn coping strategies, and gain insights from others. It's a safe space for personal growth and mutual support.
101 services47 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
52 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79912 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%96 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUISA MAGDALENA ENRIQUEZ P.T
Physical Therapist
836 E REDD RD, SUITE B
EL PASO, TX 79912
El Paso County (915) 845-4060
MRS. TANYA ALEXIS CHAVARRIA APRN
Nurse Practitioner (Family)
836 E REDD RD
EL PASO, TX 79912
El Paso County (915) 833-8444
MR. TRAVIS J MAGDEN P.T
Physical Therapist
836 E REDD RD, SUITE B
EL PASO, TX 79912
El Paso County (915) 845-4060
HORIZON PEDIATRIC NIGHT CLINIC
Clinic/Center (Urgent Care)
836 E REDD RD
EL PASO, TX 79912
El Paso County (915) 833-8444
ANGELA MARIE SERNA MSN, FNP-C
Nurse Practitioner (Family)
836 E REDD RD
EL PASO, TX 79912
El Paso County (915) 833-8444
MRS. ESPERANZA NICOLE GALAVIZ NP-C
Nurse Practitioner (Family)
836 E REDD RD
EL PASO, TX 79912
El Paso County (915) 833-8444
ANDRES S ENRIQUEZ MD PA
Family Medicine
836 E REDD RD
EL PASO, TX 79912
El Paso County (915) 833-8444
MARITZA R ARMENDARIZ
Nurse Practitioner
836 E REDD RD
EL PASO, TX 79912
El Paso County (915) 833-8444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Efren Herrera's NPI number?

The NPI number for Efren Herrera is 1124258744. It was assigned to this individual provider in the NPPES registry on July 16, 2009.

Where is Efren Herrera located?

Efren Herrera practices at 836 E Redd Rd Suite B, El Paso, TX 79912. The listed phone number is (915) 845-4060.

What is Efren Herrera's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Efren Herrera enrolled in Medicare?

Yes. Efren Herrera is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Efren Herrera accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Efren Herrera as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Efren Herrera was last updated on July 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.