Individual provider Active NPI

Rhonda Kaye Benavides, DN, MBA, PTA

  • Naprapath
  • Albuquerque, NM
National Provider Identifier
1124691746
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaprapathTaxonomy code 172P00000X
License
DN2023-0002 Issued in NM
Practice address
4015 Carlisle Blvd NE Ste a
Albuquerque, NM 87107-4529
Phone
(505) 591-6277
Fax
(505) 508-0932
NPI assigned
Jul 21, 2021
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA-0963 NM
Rehabilitation Practitioner 225400000X NU
Naprapath 172P00000X DN2023-0002 NM Primary

Addresses

Primary practice location

4015 Carlisle Blvd NE Ste a
Albuquerque, NM 87107-4529

Mailing address

4015 Carlisle Blvd NE Ste a
Albuquerque, NM 87107-4529
Phone (505) 591-6277

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
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
PTA-0963NMMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Backbone - Naprapathic Rehab Clinic, LLC Naprapath CurrentSince Sep 5, 2023 Accepting new patients

Locations

4015 Carlisle Blvd NE
Ste A
Albuquerque, NM 87107
Phone (505) 591-6277

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1124691746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 CARLISLE BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074529",
            "telephone_number": "505-591-6277",
            "fax_number": "505-509-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 CARLISLE BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074529",
            "telephone_number": "505-591-6277",
            "fax_number": "505-508-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDES",
        "first_name": "RHONDA",
        "middle_name": "KAYE",
        "name_prefix": "Prof.",
        "credential": "DN, MBA, PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "PTA-0963",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172P00000X",
            "taxonomy_group": "",
            "desc": "Naprapath",
            "state": "NM",
            "license": "DN2023-0002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.