Liza Black (NPI# 1972049153, PAC ID# 4082602032) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1972049153 |
| PAC ID by PECOS | 4082602032 |
| Professional Enrollment ID | I20040506000321 |
| Full Name | Liza Black |
| Organization Legal Name | ACTIVE SOLUTIONS THERAPY SERV INC |
| Address |
1 Linnie Ct Edgewood NM 87015-9125 |
| Phone Number | 5052867838 |
| Gender | F |
| Credential | PT |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9638132830 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1 Linnie Ct, Edgewood, NM 87015-9125 | 5052867838 | ACTIVE SOLUTIONS THERAPY SERV INC |
| Organization Legal Name | ACTIVE SOLUTIONS THERAPY SERV INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tarin M Gonzales | Physical Therapy | Active Solutions Therapy Serv Inc | 1 Linnie Ct, Edgewood, NM 87015-9125 |
| Tony L Rusk | Physical Therapy | Active Solutions Therapy Serv Inc | 1 Linnie Ct, Edgewood, NM 87015-9125 |
| Valerie A Gove | Physical Therapy | Active Solutions Therapy Serv Inc | 1 Linnie Ct, Edgewood, NM 87015-9125 |
| Rachel Colleen Harrison | Physical Therapy | Active Solutions Therapy Serv Inc | 1 Linnie Ct, Edgewood, NM 87015-9125 |
| Ryan Hotchkiss | Physical Therapy | Active Solutions Therapy Serv Inc | 1 Linnie Ct, Edgewood, NM 87015-9125 |
| Jeanne C Drennan | Occupational Therapy | Active Solutions Therapy Serv Inc | 1 Linnie Ct, Edgewood, NM 87015-9125 |
| Lynne S Carpenter | Physical Therapy | Active Solutions Therapy Serv Inc | 1 Linnie Ct, Edgewood, NM 87015-9125 |
| Laura Lynn Grant | Physical Therapy | Active Solutions Therapy Serv Inc | 1 Linnie Ct, Edgewood, NM 87015-9125 |
| Street Address |
1 LINNIE CT |
| City | EDGEWOOD |
| State | NM |
| Zip | 87015-9125 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tarin M Gonzales | Physical Therapy | Active Solutions Therapy Serv Inc | 1 Linnie Ct, Edgewood, NM 87015-9125 |
| Tony L Rusk | Physical Therapy | Active Solutions Therapy Serv Inc | 1 Linnie Ct, Edgewood, NM 87015-9125 |
| Valerie A Gove | Physical Therapy | Active Solutions Therapy Serv Inc | 1 Linnie Ct, Edgewood, NM 87015-9125 |
| Rachel Colleen Harrison | Physical Therapy | Active Solutions Therapy Serv Inc | 1 Linnie Ct, Edgewood, NM 87015-9125 |
| Ryan Hotchkiss | Physical Therapy | Active Solutions Therapy Serv Inc | 1 Linnie Ct, Edgewood, NM 87015-9125 |
| Jeanne C Drennan | Occupational Therapy | Active Solutions Therapy Serv Inc | 1 Linnie Ct, Edgewood, NM 87015-9125 |
| Lynne S Carpenter | Physical Therapy | Active Solutions Therapy Serv Inc | 1 Linnie Ct, Edgewood, NM 87015-9125 |
| Laura Lynn Grant | Physical Therapy | Active Solutions Therapy Serv Inc | 1 Linnie Ct, Edgewood, NM 87015-9125 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patria Dulce Walker | Optometry | 1917 Old Route 66, Edgewood Plaza, Edgewood, NM 87015-0400 | |
| Julian F Rowe | Obstetrics/gynecology | New Mexico Innerwellness Center Inc | 1950 Old Us, 66 C, Edgewood, NM 87015-6745 |
| Michael G Flax | Obstetrics/gynecology | New Mexico Innerwellness Center Inc | 1950 Old Us, 66 C, Edgewood, NM 87015-6745 |
| Jessica Thompson | Occupational Therapy | Fowler Enterprises Inc | 1851 Old Us 66, Edgewood, NM 87015-6784 |
| John R Stuart | Family Medicine | Mcleod Medical Centers of Nm Inc | 1851 Old Hwy 66, Edgewood, NM 87015-6784 |
| Monique Keulen-nolet | Nurse Practitioner | Mcleod Medical Centers of Nm Inc | 1851 Old Hwy 66, Edgewood, NM 87015-6784 |
| Kathy Marie Wolf | Nurse Practitioner | Mcleod Medical Centers of Nm Inc | 1851 Old Hwy 66, Edgewood, NM 87015-6784 |
| John E. Panter | Physician Assistant | Mcleod Medical Centers of Nm Inc | 1851 Old Hwy 66, Edgewood, NM 87015-6784 |
| Harry R Burger | General Practice | Mcleod Medical Centers of Nm Inc | 1851 Old Hwy 66, Edgewood, NM 87015-6784 |
| John Mark Pope | Nurse Practitioner | Mcleod Medical Centers of Nm Inc | 1851 Old Hwy 66, Edgewood, NM 87015-6784 |
| Find all physicians in zip 87015 | |||
| City | EDGEWOOD |
| Zip Code | 87015 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | EDGEWOOD + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Liza Black.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.