STATE OF NEW MEXICO (NPI# 1124180419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124180419 |
| Entity Type | Organization |
| Organization Name | STATE OF NEW MEXICO |
| Practice Address |
3695 Hot Springs Blvd Las Vegas NM 87701-9549 |
| Mailing Address |
3695 Hot Springs Blvd. Las Vegas NM 87701-9549 |
| Practice Telephone | 5054542100 |
| Mailing Telephone | 5054542100 |
| Mailing Fax Number | 5054542130 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2009-06-02 |
| Authorized Official Name | MR. CHARLES R. JARAMILLO (FINANCE DIRECTOR) |
| Authorized Official Telephone | 5054542306 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | BCBS PROVIDER NUMBER | 7577 | 01 |
| NM | PRESBYTERIAN HEALTH PRO | 38864 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740659150 | State of New Mexico | Pharmacy | 41 Fort Bayard Rd, Santa Clara, NM 88026 | 2015-09-16 |
| 1457539322 | State of New Mexico | Public Health or Welfare | 2025 S Pacheco St, Santa Fe, NM 87505-3991 | 2008-02-04 |
| 1982730669 | State of New Mexico | Skilled Nursing Facility | 41 Fort Bayard Road, Santa Clara, NM 88026 | 2007-02-26 |
| 1578609459 | State of New Mexico | Public Health or Welfare | 605 Letrado, Santa Fe, NM 87505 | 2007-01-29 |
| 1508914896 | State of New Mexico | Case Management | 2040 S Pacheco St, Santa Fe, NM 87505-5472 | 2007-01-05 |
| 1942287370 | State of New Mexico | Skilled Nursing Facility | 992 S Broadway, Truth Or Consequences, NM 87901-3198 | 2005-12-28 |
| 1578075016 | State of New Mexico | Special Hospital | 72 Gail Harris St, Roswell, NM 88203-8116 | 2017-10-24 |
| 1518294107 | State of New Mexico | Psychiatric Hospital | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2009-11-03 |
| 1578730230 | State of New Mexico | Skilled Nursing Facility | 992 S Broadway, Truth Or Consequences, NM 87901-3198 | 2008-05-13 |
| 1972784544 | State of New Mexico | Public Health or Welfare | 605 Letrado, Santa Fe, NM 87505 | 2007-11-23 |
| Street Address |
3695 HOT SPRINGS BLVD |
| City | LAS VEGAS |
| State | NM |
| Zip Code | 87701-9549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114916319 | New Mexico Behavioral Health Institute | Nursing Facility/Intermediate Care Facility | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2005-10-19 |
| 1871156208 | Jessica Espinoza | Registered Nurse | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2019-04-22 |
| 1447713342 | Julie Ruby Esquibel | Registered Nurse | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2019-04-09 |
| 1073085791 | Amanda Gonzales | Social Worker | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2018-12-19 |
| 1831664853 | Raquel Trujillo | Counselor | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2018-10-05 |
| 1063991057 | Lonnie C Lucero | Case Manager/Care Coordinator | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2018-08-09 |
| 1992290423 | Katie Hettinger | Case Manager/Care Coordinator | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2018-06-27 |
| 1467967190 | Andrew P Valdez | Case Manager/Care Coordinator | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2017-12-04 |
| 1639600208 | Larence Sanchez | Registered Nurse | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2017-03-24 |
| 1457895591 | Maria Gallardo | Registered Nurse | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2016-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851884423 | Nueva Vida Counseling and Consulting Services LLC | Community/Behavioral Health | Nueva Vida Counseling & Consulting Services LLC, 1920 7th Street, Las Vegas, NM 87701 | 2018-06-08 |
| 1316475403 | El Centro Family Health | Family Medicine | 475 Legion Dr., Las Vegas, NM 87701 | 2017-06-01 |
| 1700327384 | Anastacia Sena Jaramillo | Psychologist | 126 Silva Ave., Las Vegas, NM 87701 | 2017-03-15 |
| 1013369222 | Home Medical Equipment Specialists,llc | Durable Medical Equipment & Medical Supplies | 514 8th Street, Las Vegas, NM 87701 | 2016-07-12 |
| 1750730826 | John Michael Tourangeau | Social Worker | 1920 7th Street, Las Vegas, NM 87701 | 2016-06-08 |
| 1154705689 | Lindsy Laura Kragt Allen | Podiatrist | 1608 7th St, Las Vegas, NM 87701 | 2015-07-14 |
| 1023409521 | Ambercare Medical Supply | Durable Medical Equipment & Medical Supplies | 1747 N Grand Ave, Las Vegas, NM 87701 | 2015-02-05 |
| 1538561964 | El Centro Family Health | Clinic/Center | 947 Old National Road, Las Vegas, NM 87701 | 2014-09-17 |
| 1164832150 | Plaza Drugs | Pharmacist | 178 Bridge St, Las Vegas, NM 87701 | 2014-04-30 |
| 1043648165 | Open Doors Home Health Care | Home Health | 713 Railroad Ave., Las Vegas, NM 87701 | 2013-10-29 |
| Find all providers in zip 87701 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143974 | Retune Physiotherapy and Wellness Pllc | Physical Therapist | 6855 Crimson Horse Ct, Las Vegas, NV 89148-5144 | 2020-11-01 |
| 1568062594 | Marie Eugenie Manalastas Pabustan | Physical Therapist | 7341 Woodfall Glen St, Las Vegas, NV 89148-1831 | 2020-10-28 |
| 1992305239 | Jeffrey Michael Lorch | Physical Therapist | 7455 W Washington Ave Ste 480, Las Vegas, NV 89128-4338 | 2020-10-27 |
| 1497354377 | James Morris | Physical Therapist | 6048 S Durango Dr Ste 100, Las Vegas, NV 89113-1781 | 2020-10-21 |
| 1780298802 | Marissa Ann Toberman | Physical Therapist | 5035 Fiery Sky Ridge St, Las Vegas, NV 89148-1843 | 2020-09-04 |
| 1477165736 | Lvl Up Physical Therapy, Pllc | Physical Therapist | 3777 Pecos Mcleod Ste 102, Las Vegas, NV 89121-4265 | 2020-08-18 |
| 1912518705 | Mindfully Align Physio, Cua-de Leon Pt, Pllc | Physical Therapist | 7615 Tierra Montanosa Ave, Las Vegas, NV 89179-2040 | 2020-08-14 |
| 1073139986 | Gymphysio LLC | Physical Therapist | 7537 S Rainbow Blvd Ste 109, Las Vegas, NV 89139-0504 | 2020-06-17 |
| 1548885684 | Stephen Burke Hill | Physical Therapist | 3530 E Flamingo Rd Ste 115, Las Vegas, NV 89121-5091 | 2020-06-15 |
| 1790300184 | Talabis Physical Therapy Services, Inc | Physical Therapist | 9224 Thunder Falls Ct, Las Vegas, NV 89149-1673 | 2020-06-11 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.