Individual provider Active NPI

Elizabeth J Kane Lonergan, DPT

  • Orthopedic Physical Therapist
  • Albuquerque, NM
National Provider Identifier
1194192583
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
4684 Issued in NM
Practice address
6400 Jefferson St NE
Suite 102
Albuquerque, NM 87109-3470
Phone
(505) 344-2922
Fax
(505) 214-5030
NPI assigned
Sep 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4684 NM
Orthopedic Physical Therapist 2251X0800X 4684 NM Primary

Addresses

Primary practice location

6400 Jefferson St NE
Suite 102
Albuquerque, NM 87109-3470

Mailing address

6400 Jefferson St NE
Suite 102
Albuquerque, NM 87109-3470
Phone (505) 344-2922

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151013000268 NM Practitioner - Physical Therapist in Private Practice 3678882735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
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)

6400 Jefferson St NE
Suite 102
Albuquerque, NM 87109-3491
Phone (505) 344-2922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Armada Physical Therapy of Albuquerque LLC CurrentSince Aug 15, 2016 Accepting new patients

Locations

2929 Coors Blvd NW
Ste 100
Albuquerque, NM 87120
Phone (505) 239-8969

8616 Menaul Blvd NE
Ste A
Albuquerque, NM 87112
Phone (505) 292-4784

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

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": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514332800000",
    "number": "1194192583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 JEFFERSON ST NE",
            "address_2": "SUITE 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093470",
            "telephone_number": "505-344-2922",
            "fax_number": "505-214-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 JEFFERSON ST NE",
            "address_2": "SUITE 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093470",
            "telephone_number": "505-344-2922",
            "fax_number": "505-214-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE LONERGAN",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2017-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4684",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NM",
            "license": "4684",
            "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 Dec 27, 2017; 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.