NPIMap

Organization Active NPI

Rio Rancho Physical Therapy

  • Orthopedic Physical Therapist
  • Rio Rancho, NM
National Provider Identifier
1104869387
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
RIO RANCHO PHYSICAL THERAPY
Practice address
4516 Arrowhead Ridge Dr SE
Rio Rancho, NM 87124
Phone
(505) 896-4978
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Jan Hogstrom
Title
Administrator PT
Phone
(505) 896-4978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

4516 Arrowhead Ridge Dr SE
Rio Rancho, NM 87124

Mailing address

4516 Arrowhead Ridge Dr SE
Rio Rancho, NM 87124
Phone (505) 896-4978

National Provider Directory

National Provider Directory

Locations

4100 Southern Blvd SE
Ste 180A
Rio Rancho, NM 87124
Phone (505) 896-4978

1316 Jackie Rd SE
Ste 200
Rio Rancho, NM 87124
Phone (505) 896-4978

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1104869387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 ARROWHEAD RIDGE DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "87124",
            "telephone_number": "505-896-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 ARROWHEAD RIDGE DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "87124",
            "telephone_number": "505-896-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO RANCHO PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "HOGSTROM",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "ADMINISTRATOR  PT",
        "authorized_official_telephone_number": "505-896-4978"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.