NPIMap

Organization Active NPI

Agape Physical Therapy & Wellness Center LLC

  • Physical Therapist
  • Las Cruces, NM
National Provider Identifier
1013658996
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
AGAPE PHYSICAL THERAPY & WELLNESS CENTER LLC
Practice address
2170 E Lohman Ave Ste C
Las Cruces, NM 88001-8440
Phone
(575) 449-7002
Fax
(575) 652-4684
NPI assigned
Apr 5, 2022
Last updated
Apr 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Llewelyn Williams, MDNPI 1316922750
Title
President
Phone
(575) 449-7002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2170 E Lohman Ave Ste C
Las Cruces, NM 88001-8440

Mailing address

2170 E Lohman Ave Ste C
Las Cruces, NM 88001-8440
Phone (575) 449-7002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220715000948 NM Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2668853128 Receives reassigned benefits from 2 practitioners
Practice locations: Las Cruces, NM

National Provider Directory

National Provider Directory

Locations

2170 E Lohman Ave
Ste C
Las Cruces, NM 88001
Phone (570) 449-7002

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1013658996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 E LOHMAN AVE STE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880018440",
            "telephone_number": "575-449-7002",
            "fax_number": "575-652-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 E LOHMAN AVE STE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880018440",
            "telephone_number": "575-449-7002",
            "fax_number": "575-652-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE PHYSICAL THERAPY & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LLEWELYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-449-7002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.