Taos Sports Medicine Serices Llc, NPI 1659689347
Orthopedic Physical Therapist in Angel Fire, NM, US
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 |
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 | |
| Taxonomy Name | Orthopedic Physical Therapist |
| Classification | |
| 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 Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 43383386 | NM | MEDICAID | 05 |
| 700521047 | NM | MEDICARE GROUP PTAN | 01 |
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