Albuquerque Scoliosis Studio LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ALBUQUERQUE SCOLIOSIS STUDIO LLC

Practice address

342 Solano Dr NE
Albuquerque, NM 87108-1044

Phone

(505) 980-9920

NPI assigned

Aug 1, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Karen Pettine, DPTNPI 1821545138

Title

Owner

Phone

(505) 980-9920

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Pettine, DPT

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1821545138

  NM

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1013747401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 SOLANO DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081044",
            "telephone_number": "505-980-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 SOLANO DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081044",
            "telephone_number": "505-980-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBUQUERQUE SCOLIOSIS STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "PETTINE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-980-9920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albuquerque Public School Board of Education
• Albuquerque Public Schools
• Albuquerque Recovery Treatment LLC
• Albuquerque Rehabilitation Hospital LLC
• Albuquerque School of Excellence
• Albuquerque Speech Language and Hearing Center
• Albuquerque Speech Language Hearing Center
• Albuquerque Surgical Consultants PC
• Albuquerque Surgical Partners LLC (Centennial Surgery Center LLC)
• Albuquerque Therapy Center

• Physical Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.