Individual provider Active NPI

Margaret McConville

  • Physical Therapist
  • Albuquerque, NM
National Provider Identifier
1043795149
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5288 Issued in NM
Practice address
801 Stephen Moody Street NE
Albuquerque, NM 87123
Phone
(505) 271-3060
NPI assigned
Sep 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5288 NM Primary

Addresses

Primary practice location

801 Stephen Moody Street NE
Albuquerque, NM 87123

Mailing address

12901 Cedarbrook Ave NE
Albuquerque, NM 87111-3015
Phone (512) 466-1030

Other identifiers 1

IdentifierTypeStateIssuer
PT5288OtherNMSTATE OF NEW MEXICO REGULATION AND LICENSING DEPARTMENT PHYSICAL THERAPY BOARD

Other names 1

  • Margaret Manning Former name

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
PT5288NMMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1043795149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12901 CEDARBROOK AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113015",
            "telephone_number": "512-466-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 STEPHEN MOODY STREET NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87123",
            "telephone_number": "505-271-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONVILLE",
        "first_name": "MARGARET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT5288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEW MEXICO REGULATION AND LICENSING DEPARTMENT PHYSICAL THERAPY BOARD",
            "identifier": "PT5288",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "MANNING",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 12, 2023; 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.