Bernadette Valdez, PT

Individual provider Active NPI Physical Therapist · Isleta, NM

NPI 1013334523 · NPPES record last updated Apr 12, 2018

Key facts

NPI
1013334523
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
4405 (NM)
Practice address
01 Sage Brush St.
Isleta, NM 87022-0000
Phone
(505) 869-4398
Fax
(505) 869-4881
NPI assigned
Mar 21, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pueblo of Isleta (13 clinicians)

Practice addresses (Care Compare)

01 Sagebrush St
Albuquerque, NM 87105-0001

1 Sagebrush St SW
Albuquerque, NM 87105-3942
Phone (505) 869-4463

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NM

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20140715001322 NM Practitioner - Physical Therapist in Private Practice 0749405371 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
4405NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo of Isleta Current
since Feb 24, 2014
Accepting new patients
Pueblo of Isleta Current
since Feb 24, 2014
Accepting new patients
Pueblo of Isleta Past Accepting new patients
Pueblo of Isleta Past Accepting new patients

Locations

1 Sagebrush St SW
Albuquerque, NM 87105
Phone (505) 869-4463

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4405 NM Yes

Addresses

Primary practice location

01 Sage Brush St.
Isleta, NM 87022-0000

Mailing address

PO Box 640
Isleta Heath Center
Isleta, NM 87022-0000
Phone (505) 869-4866

Other identifiers

IdentifierTypeStateIssuer
4405OtherNMLICENSE

Other names

  • Bernadette Frigerio Former name

Other providers in Isleta, NM

All providers in Isleta, NM · Physical Therapist in New Mexico

Sources for this page

Verify at the official NPI Registry.