Roberta Renee Regalado, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3551 Issued in NM

Practice address

628 Sudderth Dr
Ruidoso, NM 88345-6204

Phone

(575) 257-5820

Fax

(575) 257-9560

NPI assigned

Aug 12, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapy Associates IncGroup PAC ID 3870695984, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Therapy Associates Inc

  • Physical Therapist
  • Ruidoso, NM
  • NPI 1902991649
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1033365994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7100",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883557100",
            "telephone_number": "575-257-5820",
            "fax_number": "575-257-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 SUDDERTH DR",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456204",
            "telephone_number": "575-257-5820",
            "fax_number": "575-257-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGALADO",
        "first_name": "ROBERTA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "M.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Rangel
• Steven J. Raterman, CRNA
• Stephen Anthony Rath, MD
• Tracy Ann Reagan Kiele, LMFT
• Edward Paul Regalado, MPT
• Region IX Developmental Services
• Region IX Education
• Region IX Education Cooperative
• Region IX Education Cooperative
• Region IX Education Cooperative

• Physical Therapist in Ruidoso, NM
• Providers in Ruidoso, 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 May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.