Active NPI
Daniel Michael Estrada, PT
- Physical Therapist
- Los Ranchos de Albuquerque, NM
National Provider Identifier
1083785422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2366
- Practice address
- 6519 4TH St NW
Los Ranchos de Albuquerque, NM 87107-5812 - Phone
- (505) 342-2500
- NPI assigned
- Nov 9, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2366 | NM | Primary |
Addresses
Primary practice location
6519 4TH St NW
Los Ranchos de Albuquerque, NM 87107-5812
Mailing address
5412 Arabian Dr NW
Albuquerque, NM 87120-2247
Phone (505) 899-4447
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2366 | NM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083785422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5412 ARABIAN DR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871202247",
"telephone_number": "505-899-4447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6519 4TH ST NW",
"city": "LOS RANCHOS DE ALBUQUERQUE",
"state": "NM",
"postal_code": "871075812",
"telephone_number": "505-342-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "DANIEL",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "2366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Ranchos de Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.