Active NPI
Valerie A Gutierrez, DPT
- Physical Therapist
- Bosque, NM
National Provider Identifier
1013214857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3920
- Practice address
- 227 Hwy 346
Bosque, NM 87006 - Phone
- (505) 450-3451
- NPI assigned
- Feb 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3920 | NM | Primary |
Addresses
Primary practice location
227 Hwy 346
Bosque, NM 87006
Mailing address
575 Camino de Higino
Los Lunas, NM 87031-9356
Phone (505) 450-3451
Other practice location 1
535 Highway 314 SW
Los Lunas, NM 87031-9600
Phone (505) 866-0055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3920 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bosque Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Bosque, NM
- NPI 1770173544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1013214857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 CAMINO DE HIGINO",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870319356",
"telephone_number": "505-450-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 HWY 346",
"city": "BOSQUE",
"state": "NM",
"postal_code": "87006",
"telephone_number": "505-450-3451"
}
],
"practiceLocations": [
{
"address_1": "535 Highway 314 SW",
"address_purpose": "LOCATION",
"city": "Los Lunas",
"state": "NM",
"postal_code": "870319600",
"country_code": "US",
"telephone_number": "505-866-0055",
"fax_number": "505-866-0057",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "VALERIE",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-14",
"last_updated": "2021-05-14",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "3920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bosque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.