Active NPI
Jose Miguel Aldea, P.T.
- Physical Therapist
- Deming, NM
National Provider Identifier
1194960591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3492
- Practice address
- 1510 S Slate St
Deming, NM 88030-6200 - Phone
- (575) 544-8669
- Fax
- (575) 546-0338
- NPI assigned
- Dec 14, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3492 | NM | Primary |
| Physical Therapist | 225100000X | 1057578 | TX |
Addresses
Primary practice location
1510 S Slate St
Deming, NM 88030-6200
Mailing address
3308 Gila CT
Deming, NM 88030-8673
Phone (719) 322-3294
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1057578 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229212800000",
"number": "1194960591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3308 GILA CT",
"city": "DEMING",
"state": "NM",
"postal_code": "880308673",
"telephone_number": "719-322-3294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 S SLATE ST",
"city": "DEMING",
"state": "NM",
"postal_code": "880306200",
"telephone_number": "575-544-8669",
"fax_number": "575-546-0338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDEA",
"first_name": "JOSE",
"middle_name": "MIGUEL",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-14",
"last_updated": "2008-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "3492",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1057578",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deming, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.