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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 2983 | NM | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 67509533 | 05 | |
NM | BCBS | NMOOQ782 | 01 |
Other Name | Type Code |
---|---|
Elliott Physical Therapy | Former Legal Business Name - Organization |
Street Address |
16306 B HWY 84 |
City | CHAMA |
State | NM |
Zip Code | 87520 |
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 |
Find all providers in zip 87520 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
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 |
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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 |
Find all providers with the same taxonomy |
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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.