Taos Sports Medicine Serices Llc, NPI 1659689347
Orthopedic Physical Therapist in Angel Fire, NM, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1659689347
NPI Entity Type Organization
Provider Name Taos Sports Medicine Serices Llc
Doing Business As
Subpart of Organization Taos Sports Medicine Services, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 12 Crestview Drive, Ste 1s, Angel Fire, NM, US
Provider Mailing Address 1398 Weimer Rd, Ste 203, Taos, NM, US, 875716397
Is Sole Proprietor? No
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Organization Official

Official Name Jocelyn Lucero
Official Position OFFICE MANAGER
Phone 575-737-0304

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

2251X0800X

Taxonomy Name Orthopedic Physical Therapist
Classification

Physical Therapist

Group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

License No. 3072B1
License State NM
Description A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Other Organization Name

Angel Fire Physical Therapy
Doing Business As

Business Address

Taos Sports Medicine Serices Llc
12 Crestview Drive
Ste 1s

Angel Fire, NM, US

Phone: 575-377-1900
Fax: 575-377-2383

Mailing Address

Taos Sports Medicine Serices Llc
1398 Weimer Rd
Ste 203
Taos, NM, US
ZIP 875716397
Phone: 575-737-0304
Fax: 575-737-0383

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
43383386 NM MEDICAID 05
700521047 NM MEDICARE GROUP PTAN 01

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