Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHYSICAL THERAPY & SPORTS MEDICINE OF NORTHERN NEW MEXICO, INC.
Active OrganizationPhysical Therapy Assistant · AZTEC, NM
Registration Details
- NPI Number
- 1306069224
- Provider Type
- Organization
- NPI Issued
- Apr 10, 2007 (19.031138735775 yrs)
- Last Updated
- Oct 7, 2025
- Licenses
-
108 (NM)A-0483 (NM)1025 (NM)
Practice Information
- Address
-
505 N MAIN AVEAZTEC, NM, 874101942Browse NM providers · Browse ZIP 87410
- Phone
- 5053349616
- Fax
- 5053347343
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Physical Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.