Active NPI
Christian Quijano, DPT
- Physical Therapist
- Los Alamos, NM
National Provider Identifier
1154895506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5437
- Practice address
- 1350 Central Ave Ste 105
Los Alamos, NM 87544-6217 - Phone
- (505) 662-3384
- NPI assigned
- Jan 18, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0015893 | CO | |
| Physical Therapist | 225100000X | 5437 | NM | Primary |
Addresses
Primary practice location
1350 Central Ave Ste 105
Los Alamos, NM 87544-6217
Mailing address
1350 Central Ave Ste 105
Los Alamos, NM 87544-6217
Phone (505) 662-3384
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0015893 | CO | MD | Physical Therapist |
| 5437 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PTP Inc | Physical Therapist | Past | Accepting new patients |
| Physical Therapy Plus Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Los Alamos, NM
- NPI 1023076197
-
- Orthopedic Physical Therapist
- Los Alamos, NM
- NPI 1578105433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1154895506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 CENTRAL AVE STE 105",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875446217",
"telephone_number": "505-662-3384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 CENTRAL AVE STE 105",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875446217",
"telephone_number": "505-662-3384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIJANO",
"first_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-18",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0015893",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "5437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Alamos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.