NPIMap

Organization Active NPI

Atrium Physical Therapy, Inc.

  • Physical Therapist
  • Las Cruces, NM
National Provider Identifier
1174719546
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1147 Issued in NM
Legal business name
ATRIUM PHYSICAL THERAPY, INC.
Practice address
1115 Commerce Dr
Suite C
Las Cruces, NM 88011-8247
Phone
(575) 525-2450
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Authorized official

Name
Dennis Prickett, PTNPI 1336142744
Title
VP/ Treasurer
Phone
(575) 525-2450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1147 NM Primary

Addresses

Primary practice location

1115 Commerce Dr
Suite C
Las Cruces, NM 88011-8247

Mailing address

1115 Commerce Dr
Suite C
Las Cruces, NM 88011-8247
Phone (575) 525-2450

Other practice location 1

1165 Commerce Dr Ste B
Las Cruces, NM 88011-8453
Phone (575) 525-2450

Other identifiers 4

IdentifierTypeStateIssuer
NM00N491OtherNMBCBSNM
650019370OtherRAILROAD MEDICARE
00K8214MedicaidNM
201079788OtherNMPRESBYTERIAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090713000474 NM Part B Supplier - Clinic/Group Practice 5991857518 Receives reassigned benefits from 2 practitioners
Practice locations: Las Cruces, NM

National Provider Directory

National Provider Directory

Locations

1160 Commerce Dr
Las Cruces, NM 88011
Phone (575) 525-2450

1115 Commerce Dr
Ste C
Las Cruces, NM 88011
Phone (505) 525-2450

1165 Commerce Dr
Ste B
Las Cruces, NM 88011
Phone (575) 525-2450

Practitioners & affiliated clinicians

Practitioners 4

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": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1174719546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 COMMERCE DR",
            "address_2": "SUITE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118247",
            "telephone_number": "575-525-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 COMMERCE DR",
            "address_2": "SUITE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118247",
            "telephone_number": "575-525-2450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1165 Commerce Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880118453",
            "country_code": "US",
            "telephone_number": "575-525-2450",
            "fax_number": "575-993-5380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATRIUM PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "PRICKETT",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "VP/ TREASURER",
        "authorized_official_telephone_number": "575-525-2450",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "1147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNM",
            "identifier": "NM00N491",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "650019370",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00K8214",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN",
            "identifier": "201079788",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.