KERRY R MACDONALD (NPI# 1336158898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336158898 |
| Entity Type | Individual |
| Full Name | KERRY R MACDONALD |
| Credential | MPT |
| Practice Address |
2404 S Locust St Suite 5 Las Cruces NM 88001-5789 |
| Practice Telephone | 5055214188 |
| Practice Fax Number | 5055213668 |
| Mailing Telephone | 5055214188 |
| Mailing Fax Number | 5055213668 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2008-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 1129815 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | 2962 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 13602012 | 05 | |
| NM | BCBS NM | NM00Q469 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689164535 | Kerry Ann Macdonald | Occupational Therapist | 1147 Sibley St Nw, Grand Rapids, MI 49504-5459 | 2018-05-16 |
| 1144423393 | Kerry M Macdonald | Dietitian, Registered | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2007-06-06 |
| 1285850917 | Kerry Macdonald | Social Worker | 55 Robinwood Ave, Jamaica Plain, MA 02130-2157 | 2007-04-18 |
| Street Address |
2404 S LOCUST ST SUITE 5 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001-5789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205806031 | Ryan Bybee | Physical Therapist | 2404 S Locust St, Ste 5, Las Cruces, NM 88001-5789 | 2006-01-24 |
| 1134583743 | Alexandra Munoz | Specialist/Technologist | 2404 S Locust St, Las Cruces, NM 88001-5789 | 2016-04-09 |
| 1366877425 | Carl Calabrese | Physical Therapist | 2404 S Locust St, Ste 5, Las Cruces, NM 88001-5789 | 2013-09-09 |
| 1588951198 | John Michael Durham | Physical Therapist | 2404 S Locust St, Suite 5, Las Cruces, NM 88001-5789 | 2011-07-03 |
| 1619267481 | Matthew Newman | Physical Therapist | 2404 S Locust St, Ste 5, Las Cruces, NM 88001-5789 | 2011-04-14 |
| 1841591138 | Pawel Gredecki | Physical Therapist | 2404 S Locust St, Suite 5, Las Cruces, NM 88001-5789 | 2010-11-03 |
| 1013173582 | Ronald Ferrel Bybee | Physical Therapist | 2404 S Locust St, Suite 5, Las Cruces, NM 88001-5789 | 2008-08-04 |
| 1437279817 | Esteban Sanchez | Physical Therapist | 2404 S Locust St, Suite 5, Las Cruces, NM 88001-5789 | 2007-03-30 |
| 1245392737 | Maricela Monsivaiz | Physical Therapist | 2404 S Locust St, Suite 5, Las Cruces, NM 88001-5789 | 2006-12-14 |
| 1639249816 | Joseph Plas | Family Medicine | 2404 S Locust St, Suite 2, Las Cruces, NM 88001-5789 | 2006-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| Find all providers in zip 88001 | ||||
| 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 |
|---|---|---|---|---|
| 1457970519 | Cameron Pelletier | Physical Therapist | 3402 Bixler Dr Apt 204, Las Cruces, NM 88012-5108 | 2020-04-09 |
| 1023583226 | Richard Flores | Physical Therapist | 1090 Med Park Dr., Las Cruces, NM 88005 | 2018-10-04 |
| 1437674264 | Border Therapy Services LLC | Physical Therapist | 880 S Telshor Blvd Ste 202, Las Cruces, NM 88011-8601 | 2017-08-14 |
| 1073059374 | Emmaruth Bautista | Physical Therapist | 2330 Nevada Ave Apt 110, Las Cruces, NM 88001-1414 | 2017-01-10 |
| 1578923827 | Jaime Galang Napao Jr. | Physical Therapist | 4663 Arabela Dr, Las Cruces, NM 88012-5049 | 2016-02-29 |
| 1396137006 | Beverly Hammant | Physical Therapist | 1115 Commerce Dr Ste C, Las Cruces, NM 88011-8248 | 2015-03-04 |
| 1275877714 | Colleen Nicole Wismer | Physical Therapist | 2230 Cimarron Dr, Las Cruces, NM 88011-8055 | 2012-11-21 |
| 1881941201 | Teambuilder Counseling Service | Physical Therapist | 2205a S.main St., Las Cruces, NM 88005 | 2012-08-06 |
| 1508111311 | N'joy Physical Therapy,llc | Physical Therapist | 151 N Roadrunner Pkwy, 303, Las Cruces, NM 88011-7019 | 2012-07-18 |
| 1376808592 | Carrie J Swartz | Physical Therapist | 1340 E Lohman Ave, Las Cruces, NM 88001-3159 | 2012-07-13 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88001 |
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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.