Individual provider Active NPI

Jaime Nicole Franklin

  • Physical Therapy Assistant
  • Albuquerque, NM
National Provider Identifier
1194579243
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA0821 Issued in NM
Practice address
6743 Academy Rd NE Ste B
Albuquerque, NM 87109-3372
Phone
(505) 717-1624
NPI assigned
Apr 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA0821 NM Primary

Addresses

Primary practice location

6743 Academy Rd NE Ste B
Albuquerque, NM 87109-3372

Mailing address

11204 Kielich Ave NE
Albuquerque, NM 87111-1844
Phone (505) 860-4192

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

LicenseStateTypeSpecialty
PTA0821NMMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Klarus Health Care, LLC CurrentSince Apr 21, 2024 Accepting new patients

Locations

6743 Academy Rd NE
Ste B
Albuquerque, NM 87109
Phone (505) 717-1624

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": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1194579243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11204 KIELICH AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111844",
            "telephone_number": "505-860-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6743 ACADEMY RD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093372",
            "telephone_number": "505-717-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKLIN",
        "first_name": "JAIME",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "PTA0821",
            "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 Apr 15, 2024; 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.