Individual provider Active NPI

Rebecca Maidment, P.T.

  • Physical Therapist
  • Albuquerque, NM
National Provider Identifier
1013216746
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
600 Issued in NM
Practice address
7111 Gettysburg Rd NE
Albuquerque, NM 87109-5021
Phone
(505) 328-3197
NPI assigned
Mar 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 600 NM Primary
Pediatric Physical Therapist 2251P0200X 600 NM

Addresses

Primary practice location

7111 Gettysburg Rd NE
Albuquerque, NM 87109-5021

Mailing address

7111 Gettysburg Rd NE
Albuquerque, NM 87109-5021
Phone (505) 328-3197

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
600NMMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Giant Strides Therapy, LLC Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1013216746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 GETTYSBURG RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095021",
            "telephone_number": "505-328-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 GETTYSBURG RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095021",
            "telephone_number": "505-328-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIDMENT",
        "first_name": "REBECCA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "600",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NM",
            "license": "600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.