Living Desert Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2043 Issued in NM

Legal business name

LIVING DESERT PHYSICAL THERAPY

Practice address

1101 W Mermod St Ste B
Carlsbad, NM 88220-4407

Phone

(505) 234-1790

Fax

(505) 234-1898

NPI assigned

Jun 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Salazar

Title

Office Manager

Phone

(505) 234-1790

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erik W Deproost, PT

  • Physical Therapist
  • Salem, OR
  • NPI 1417959248
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245267632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882210896",
            "telephone_number": "505-234-1790",
            "fax_number": "505-234-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W MERMOD ST STE B",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882204407",
            "telephone_number": "505-234-1790",
            "fax_number": "505-234-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING DESERT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-234-1790",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NM",
            "license": "2043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18002997304",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reagan Shea Leyva, FNP-C
• Megan Nichole Lilley, RN
• Michael G. Lim, M.D.
• Lisa J Perkowski MD PC
• James Litchfield Jr.
• Rosa Lomax
• Richard Lopez Bustos, MS
• Honesty Lopez
• Julie Stroyek Lopez, LPCC
• Ann Luchini

• Physical Therapy Clinic/Center in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Physical Therapy Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.