Individual provider Active NPI

Lynda Marie Michalk, PT

  • Physical Therapist
  • Rio Rancho, NM
National Provider Identifier
1134553969
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2278 Issued in NM
Practice address
4516 Arrowhead Ridge Dr SE
Rio Rancho, NM 87124-5932
Phone
(505) 896-4978
NPI assigned
Aug 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2278 NM Primary

Addresses

Primary practice location

4516 Arrowhead Ridge Dr SE
Rio Rancho, NM 87124-5932

Mailing address

4516 Arrowhead Ridge Dr SE
Rio Rancho, NM 87124-5932
Phone (505) 896-4978

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131023001061 NM Practitioner - Physical Therapist in Private Practice 6709011075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Armada Physical Therapy of Albuquerque LLCGroup PAC ID 9830328954, 22 clinicians

Practice addresses (Care Compare)

2401 Cabezon Blvd SE
Suite 102
Rio Rancho, NM 87124-1513
Phone (505) 994-2599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2278NMMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Armada Physical Therapy of Albuquerque LLC CurrentSince Oct 1, 2019 Accepting new patients

Locations

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

2401 Cabezon Blvd SE
Ste 102
Rio Rancho, NM 87124
Phone (505) 994-2599

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1134553969",
    "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": "871245932",
            "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": "871245932",
            "telephone_number": "505-896-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALK",
        "first_name": "LYNDA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2278",
            "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 Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.