Jemez Physical Therapy, Pc

LBN: Jemez Physical Therapy, Pc
Jemez Physical Therapy, Pc is an health care organization with primary practice located at 2101 Trinity Dr Ste N, Los Alamos NM 87544-4103. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Jemez Physical Therapy, Pc can be contacted via phone (505) 661-6191, or through Gardner, Lorraine L via phone (505) 661-6191.

Contact Information

Primary practice address
2101 Trinity Dr Ste N Los Alamos NM 87544-4103
Phone: (505) 661-6191
Fax: (505) 663-0386
Website:
Map and Directions
Authorized official contact:
Name: Gardner, Lorraine L Physical Therapist (PT)
Phone: (505) 661-6191

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1295778470
LBN Legal business name Jemez Physical Therapy, Pc
DBA Doing business as
Authorized official Gardner, Lorraine L Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2006
Last updated Oct 24th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295778470 NPPES
New Mexico Other PROVP12945 MOLINA
New Mexico Other NM000NA25 MOLINA
New Mexico MEDICAID 00074159 MOLINA

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