Michael Joseph Bishop, DPT, C-PS

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT4085 Issued in NM

Practice address

601 E Lincoln St
Las Vegas, NM 87701-4502

Phone

(505) 425-2998

Fax

(505) 425-2897

NPI assigned

Jun 10, 2021

Last updated

Jun 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1003483603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9016 RIATO AVE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87121",
            "telephone_number": "505-974-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E LINCOLN ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014502",
            "telephone_number": "505-425-2998",
            "fax_number": "505-425-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "DPT, C-PS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NM",
            "license": "PT4085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward W Bennett, LMHC
• Brandy A Benton, DPT
• Bio-Medical Applications of New Mexico, Inc. (Bma Las Vegas Dialysis Center)
• Birch Trail, LLC
• John Bish, LPC
• James Bitah, LCSW
• Sarah Katrina Bonney
• Savannah Borquez
• Lori Borrego
• Dianne Braganza

• Physical Therapy Clinic/Center in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Physical Therapy Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.