NPIMap

Organization Active NPI

Zia Therapy and Pain Relief Inc

  • Multi-Specialty Clinic/Center
  • Rio Rancho, NM
National Provider Identifier
1194586362
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ZIA THERAPY AND PAIN RELIEF INC
Practice address
1520 Deborah Rd SE Ste K
Rio Rancho, NM 87124-1030
Phone
(978) 618-7500
NPI assigned
Jan 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Mr. Evan Stuart, OTR/LNPI 1902131329
Title
Provider
Phone
(978) 618-7500

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
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1520 Deborah Rd SE Ste K
Rio Rancho, NM 87124-1030

Mailing address

1520 Deborah Rd SE Ste K
Rio Rancho, NM 87124-1030
Phone (978) 618-7500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240205001074 NM Part B Supplier - Clinic/Group Practice 9133562416 Receives reassigned benefits from 7 practitioners
Practice locations: Rio Rancho, NM; Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

1520 Deborah Rd SE
Ste K
Rio Rancho, NM 87124
Phone (505) 589-8840

Practitioners & affiliated clinicians

Practitioners 7

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": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1194586362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 DEBORAH RD SE STE K",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241030",
            "telephone_number": "978-618-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 DEBORAH RD SE STE K",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241030",
            "telephone_number": "978-618-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIA THERAPY AND PAIN RELIEF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "978-618-7500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.