Active NPI
Kelli Maginot
- Physical Therapist
- Los Alamos, NM
National Provider Identifier
1053870188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5442
- Practice address
- 1350 Central Ave Ste 105
Los Alamos, NM 87544-6217 - Phone
- (505) 662-3384
- NPI assigned
- Mar 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 42792 | CA | |
| Physical Therapist | 225100000X | PT5442 | NM | Primary |
Addresses
Primary practice location
1350 Central Ave Ste 105
Los Alamos, NM 87544-6217
Mailing address
1973 Cumbres Patio St
Los Alamos, NM 87544-2734
Phone (361) 549-7678
Other practice location 1
1973 Cumbres Patio St
Los Alamos, NM 87544
Phone (361) 549-7678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Los Alamos, NM 87544
Phone (361) 549-7678
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empower Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Los Alamos, NM
- NPI 1629717459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1053870188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1973 CUMBRES PATIO ST",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875442734",
"telephone_number": "361-549-7678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 CENTRAL AVE STE 105",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875446217",
"telephone_number": "505-662-3384"
}
],
"practiceLocations": [
{
"address_1": "1973 Cumbres Patio St",
"address_purpose": "LOCATION",
"city": "Los Alamos",
"state": "NM",
"postal_code": "87544",
"country_code": "US",
"telephone_number": "361-549-7678",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAGINOT",
"first_name": "KELLI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-18",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "42792",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "PT5442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Alamos, NM
- Los Alamos Retirement Center, Inc. (Sombrillo Nursing Facility)
- Los Alamos Visiting Nurse Service, Inc
- Los Alamos Visiting Nurse Service, Inc.
- Los Alamos Wellness & Rehabilitation LLC
- Los Alamos Womens Health Services, PC
- Maureen Mahoney-Barraclough, MOTR-L, MS
- Jeanne Malchow, CNM/FNP
- David Jake Maldonado, ATC, LAT
- Daniel Marancenbaum, MD
- Lisa Renee Marr Lyon, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.