Organization Active NPI

Adaptive Therapies LLC

  • Rehabilitation Practitioner
  • Farmington, NM
National Provider Identifier
1093324196
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
ADAPTIVE THERAPIES LLC
Practice address
804 E Navajo St
Farmington, NM 87401-9119
Phone
(505) 386-0075
NPI assigned
Jul 24, 2020
Last updated
Jul 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Authorized official

Name
Amanda Morrison-Thrower, OTR/LNPI 1528266293
Title
Manager
Phone
(505) 860-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X NU Primary

Addresses

Primary practice location

804 E Navajo St
Farmington, NM 87401-9119

Mailing address

804 E Navajo St
Farmington, NM 87401-9119
Phone (505) 386-0075

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200911000043 NM Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8325466170 Receives reassigned benefits from 2 practitioners
Practice locations: Farmington, NM

National Provider Directory

National Provider Directory

Locations

804 E Navajo St
Farmington, NM 87401
Phone (505) 327-5336

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1093324196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 E NAVAJO ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874019119",
            "telephone_number": "505-386-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 E NAVAJO ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874019119",
            "telephone_number": "505-386-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPTIVE THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "MORRISON-THROWER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "505-860-6000",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.