Individual provider Active NPI

Amanda Leigh Robinson, P.T., D.P.T

  • Physical Therapist
  • Las Cruces, NM
National Provider Identifier
1083029490
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5901 Issued in NM
Practice address
2550 Samaritan Dr Ste 101
Las Cruces, NM 88001-1170
Phone
(575) 592-2088
NPI assigned
Jun 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 073799 IA
Physical Therapist 225100000X 3333 NE
Physical Therapist 225100000X 1781 ND
Physical Therapist 225100000X 9817 MN
Physical Therapist 225100000X PT5901 NM Primary

Addresses

Primary practice location

2550 Samaritan Dr Ste 101
Las Cruces, NM 88001-1170

Mailing address

PO Box 2845
Las Cruces, NM 88004-2845
Phone (575) 592-2088

Other practice location 1

111 17th Ave E
Alexandria, MN 56308-5273
Phone (320) 762-6079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210713003987 NM Practitioner - Physical Therapist in Private Practice 5698991081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Function Therapy Specialists IncGroup PAC ID 2860898111, 7 clinicians

Practice addresses (Care Compare)

2550 Samaritan Dr
Suite 101B
Las Cruces, NM 88001-1170
Phone (575) 592-2088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1781NDMDPhysical Therapist
3333NEMDPhysical Therapist
9817MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Sport and Spine Center Inc Physical Therapist CurrentSince Jul 26, 2021 Accepting new patients
Function Therapy Specialists, Inc Physical Therapist CurrentSince Dec 16, 2023 Accepting new patients
Real View Diagnostics LLC Physical Therapist PastSince Jul 26, 2021 Accepting new patients

Locations

2404 S Locust St
Ste 5
Las Cruces, NM 88001
Phone (505) 521-4188

1181 Mall Dr
Las Cruces, NM 88011
Phone (505) 521-1111

2550 Samaritan Dr
Ste 101B
Las Cruces, NM 88001
Phone (575) 265-0222

1181 Mall Dr
Ste C
Las Cruces, NM 88011
Phone (575) 522-0766

2550 Samaritan Dr
Ste 101
Las Cruces, NM 88001
Phone (575) 265-0222

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1083029490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2845",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880042845",
            "telephone_number": "575-592-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 SAMARITAN DR STE 101",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011170",
            "telephone_number": "575-592-2088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 17th Ave E",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "MN",
            "postal_code": "563085273",
            "country_code": "US",
            "telephone_number": "320-762-6079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "credential": "P.T., D.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "073799",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3333",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1781",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "9817",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT5901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.