Active NPI
Caryl Ventura
- Physical Therapist
- Farmington, NM
National Provider Identifier
1083016885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4452
- Practice address
- 2800 Hutton Ave
Farmington, NM 87402-4560 - Phone
- (505) 215-0179
- NPI assigned
- Sep 23, 2014
- 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 | 4452 | NM | Primary |
| Physical Therapist | 225100000X | 1228450 | TX |
Addresses
Primary practice location
2800 Hutton Ave
Farmington, NM 87402-4560
Mailing address
218 N Allen Ave Apt Unit15
Farmington, NM 87401-6206
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4452 | NM | MD | Physical Therapist |
| 1228450 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1083016885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 N ALLEN AVE APT UNIT15",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874016206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 HUTTON AVE",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874024560",
"telephone_number": "505-215-0179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENTURA",
"first_name": "CARYL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-23",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "4452",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1228450",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.