PATIENCE GRASSHOPPER THERAPEUTICS


Address: 16306 B Hwy 84, Chama, NM 87520
Phone: 5757568391

PATIENCE GRASSHOPPER THERAPEUTICS (NPI# 1679860175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679860175
Entity Type Organization
Organization Name PATIENCE GRASSHOPPER THERAPEUTICS
Other Organization Name ELLIOTT PHYSICAL THERAPY
Practice Address 16306 B Hwy 84
Chama
NM 87520
Mailing Address Po Box 301
Chama
NM 87520-0301
Practice Telephone 5757568391
Mailing Telephone 5757568391
Enumeration Date 2011-07-05
Last Update Date 2011-07-05
Authorized Official Name AMILIA ANNE ELLIOTT (OWNER, PROVIDER)
Authorized Official Telephone 5757568391
Authorized Official Credential M.P.T.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 2983 NM Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 67509533 05
NM BCBS NMOOQ782 01

Other Provider/Organization Names

Other Name Type Code
Elliott Physical Therapy Former Legal Business Name - Organization

Office Location

Street Address 16306 B HWY 84
City CHAMA
State NM
Zip Code 87520

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891203030 Heather Noonan Behavior Technician 9 Hollow Oak Lane, Chama, NM 87520 2018-01-22
1922520667 Bestcare Pharmacy Chama LLC Pharmacy 2215 State Road 17, #b, Chama, NM 87520 2017-07-14
1235473067 Therapeutic Solutions of New Mexico Community/Behavioral Health 457 South Terrace Avenue, Chama, NM 87520 2012-11-16
1285987289 Northwest Regional Education Cooperative #2 Local Education Agency (LEA) 182 North Pine, Bldg C, Chama, NM 87520 2012-10-16
1386918399 Chama Valley Dental Care Dentist 451 Maple Ave., Chama, NM 87520 2012-03-08
1326323882 Kathleen Lesh Smith Massage Therapist 16306-b Hwy. 84, Chama, NM 87520 2011-10-17
1508185638 Karin L. Schaufele Acupuncturist 2523 Colin Road, Highway 64/84, Chama, NM 87520 2010-05-28
1518103902 Jeffrey Versaw Social Worker 669 Terrace Ave., B, Chama, NM 87520 2009-01-06
1598755076 Samantha Lopez-hinds Dental Hygienist 211 North Pine, Chama, NM 87520 2005-10-25
1376814137 Riverbear Counseling LLC Counselor 16306 Hwy 64/84, Chama, NM 87520 2012-01-25
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

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1083199301 Kristen Diferdinando Specialist 203 Ledoux St, Taos, NM 87571-7008 2018-10-02
1417452699 Ageplan Institute Specialist 274 Fairview Ave, Raton, NM 87740-3523 2018-03-28
1295246098 Quality Life Services, LLC Specialist 4212 Hermia Ct, Las Cruces, NM 88011-0918 2017-10-19
1952840191 Odely Ortiz-vega Specialist 10582 Vista Bella Pl Nw, Albuquerque, NM 87114-3886 2017-02-21
1417407842 Annette Sobel Specialist 7 Engelbrecht Lane, Tijeras, NM 87059 2016-10-10
1144779836 Brittany Parker Specialist 2205 Ridgecrest Dr, Farmington, NM 87401-3405 2016-09-23
1669824652 Jeanette Marie Deanda Specialist 34 Monticello Dr Ne, Albuquerque, NM 87123-9601 2016-07-01
1669828687 Debra Wilcox Specialist 1009 Mechem Dr Ste 5, Ruidoso, NM 88345-7060 2016-05-09
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Competitor

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City CHAMA
Zip Code 87520

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Dataset Information

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.

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