Organization Active NPI

Physical Therapy Clinic at la Cueva

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Albuquerque, NM
National Provider Identifier
1174567366
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
PHYSICAL THERAPY CLINIC AT LA CUEVA
Practice address
7920 Carmel NE
Suite #3
Albuquerque, NM 87122
Phone
(505) 344-4959
Fax
(505) 341-0426
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Tracie Loriecie Sipple
Title
Physical Therapist
Phone
(505) 344-4959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X NM Primary

Addresses

Primary practice location

7920 Carmel NE
Suite #3
Albuquerque, NM 87122

Mailing address

7920 Claremont Ave NE
Suite #3
Albuquerque, NM 87110-3712
Phone (505) 344-4959

National Provider Directory

National Provider Directory

Locations

7920 Carmel Ave NE
Ste 3
Albuquerque, NM 87122
Phone (505) 344-4959

7920 Claremont Ave NE
Ste 3
Albuquerque, NM 87110

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174567366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 CLAREMONT AVE NE",
            "address_2": "SUITE #3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103712",
            "telephone_number": "505-344-4959",
            "fax_number": "505-341-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 CARMEL NE",
            "address_2": "SUITE #3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87122",
            "telephone_number": "505-344-4959",
            "fax_number": "505-341-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CLINIC AT LA CUEVA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIPPLE",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "LORIECIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "505-344-4959",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NM",
            "license": null,
            "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 22, 2020; 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.