Bobbi Deanna Pierson, PT, DPT

Individual provider Active NPI Physical Therapist · Bernalillo, NM

NPI 1124754601 · NPPES record last updated Jul 27, 2022

Key facts

NPI
1124754601
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2204 (NM)
Practice address
140 US-550 Ste. E3
Bernalillo, NM 87004
Phone
(505) 404-8652
NPI assigned
Jul 27, 2022
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
University of New Mexico School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maximum Impact Physical Therapy, LLC (2 clinicians)
Armada Physical Therapy of Albuquerque LLC (22 clinicians)

Practice addresses (Care Compare)

5850 Eubank Blvd NE
Suite B60
Albuquerque, NM 87111-7100
Phone (505) 336-4254

8616 Menaul Blvd NE
Suite a
Albuquerque, NM 87112-2262
Phone (505) 292-4784

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NM

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220815000902 NM Practitioner - Physical Therapist in Private Practice 1658754221 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Maximum Impact Physical Therapy, LLC Physical Therapist Current
since Dec 4, 2023
Accepting new patients
Apexnetwork New Mexico, LLC Physical Therapist Current
since Aug 1, 2022
Accepting new patients
Armada Physical Therapy of Albuquerque LLC Current
since Nov 20, 2023
Accepting new patients

Locations

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

5850 Eubank Blvd NE
Ste B60
Albuquerque, NM 87111
Phone (505) 336-4254

10555 Montgomery Blvd NE
Ste 30
Albuquerque, NM 87111
Phone (505) 299-6622

8616 Menaul Blvd NE
Ste A
Albuquerque, NM 87112
Phone (505) 292-4784

6400 Jefferson St NE
Ste 102
Albuquerque, NM 87109
Phone (505) 344-2922

3400 NM 528 NW
Ste 106A
Albuquerque, NM 87114
Phone (505) 800-7810

140 E Highway 550
Ste E3
Bernalillo, NM 87004
Phone (505) 404-8652

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2204 NM Yes

Addresses

Primary practice location

140 US-550 Ste. E3
Bernalillo, NM 87004

Mailing address

2333 Britt St NE
Albuquerque, NM 87112-1541
Phone (505) 620-5101

Other providers in Bernalillo, NM

All providers in Bernalillo, NM · Physical Therapist in New Mexico

Sources for this page

Verify at the official NPI Registry.