Dana M Wade, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3987 Issued in NM

Practice address

1129 Mechem Dr Ste C
Ruidoso, NM 88345-7292

Phone

(575) 808-8721

Fax

(575) 808-8723

NPI assigned

Dec 31, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Topline Therapy LLC

  • Physical Therapy Clinic/Center
  • Ruidoso, NM
  • NPI 1568012565

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1063658706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 VISTA RIO BONITO DR",
            "city": "ALTO",
            "state": "NM",
            "postal_code": "883129400",
            "telephone_number": "575-808-8721",
            "fax_number": "575-808-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 MECHEM DR STE C",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883457292",
            "telephone_number": "575-808-8721",
            "fax_number": "575-808-8723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W Pierce St",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "NM",
            "postal_code": "882205218",
            "country_code": "US",
            "telephone_number": "325-668-0163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Village Dr",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796068231",
            "country_code": "US",
            "telephone_number": "325-691-5519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1406 Doepp Dr",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "NM",
            "postal_code": "88220",
            "country_code": "US",
            "telephone_number": "325-668-0163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "DANA",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-31",
        "last_updated": "2021-04-30",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3987",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1087419",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT3987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12757349",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Velez, FNP-BC
• George Vigil
• Village of Ruidoso Ambulance
• Liliana Villegas
• Iris Madelone Visser
• Walgreen Co
• Corey Walker
• Karen Walker
• Marla Loree Wall
• Samantha A. Ward, BMS

• 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 Apr 30, 2021; 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.