Active NPI
Scott Hubbard, PT
- Physical Therapist
- Albuquerque, NM
National Provider Identifier
1174656458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3096
- Practice address
- 6801 Ventana Village Rd NW
Ventana Ranch Es
Albuquerque, NM 87114-4183 - Phone
- (505) 890-7375
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3096 | NM | Primary |
Addresses
Primary practice location
6801 Ventana Village Rd NW
Ventana Ranch Es
Albuquerque, NM 87114-4183
Mailing address
6801 Ventana Village Rd NW
Ventana Ranch Es
Albuquerque, NM 87114-4183
Phone (505) 890-7375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77470222 | Medicaid | NM |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1174656458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 VENTANA VILLAGE RD NW",
"address_2": "VENTANA RANCH ES",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871144183",
"telephone_number": "505-890-7375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 VENTANA VILLAGE RD NW",
"address_2": "VENTANA RANCH ES",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871144183",
"telephone_number": "505-890-7375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "SCOTT",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "3096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77470222",
"state": "NM"
}
],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.