Individual provider Active NPI

Maricela Monsivaiz, MPT

  • Physical Therapist
  • Las Cruces, NM
National Provider Identifier
1245392737
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3146 Issued in NM
Practice address
2404 S Locust St
Suite 5
Las Cruces, NM 88001-5789
Phone
(505) 521-4188
Fax
(505) 521-3668
NPI assigned
Dec 14, 2006
Last updated
Mar 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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 3146 NM Primary
Physical Therapist 225100000X 1166050 TX

Addresses

Primary practice location

2404 S Locust St
Suite 5
Las Cruces, NM 88001-5789

Mailing address

2404 S Locust St
Suite 5
Las Cruces, NM 88001-5789
Phone (505) 521-4188

Other identifiers 2

IdentifierTypeStateIssuer
07531869MedicaidNM
NM00Q505OtherNMBCBS NM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050822000347 NM Practitioner - Physical Therapist in Private Practice 8426094020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

4151 Camino Coyote
Las Cruces, NM 88011-7096
Phone (575) 522-0484

Merit-based Incentive Payment System (MIPS)

Final score
19.16 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
63.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Real View Diagnostics LLC Physical Therapist CurrentSince May 11, 2005 Accepting new patients
Physical Therapy and Rehabilitation Services of Las Cruces, LLC Physical Therapist CurrentSince Jun 29, 2020 Accepting new patients

Locations

2404 S Locust St
Ste 5
Las Cruces, NM 88001
Phone (505) 521-4188

4151 Camino Coyote
Las Cruces, NM 88011
Phone (575) 522-0484

1845 Northwestern Dr
Ste B
El Paso, TX 79912
Phone (915) 875-1559

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1245392737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 S LOCUST ST",
            "address_2": "SUITE 5",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015789",
            "telephone_number": "505-521-4188",
            "fax_number": "505-521-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 S LOCUST ST",
            "address_2": "SUITE 5",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015789",
            "telephone_number": "505-521-4188",
            "fax_number": "505-521-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONSIVAIZ",
        "first_name": "MARICELA",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3146",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1166050",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07531869",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NM",
            "identifier": "NM00Q505",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.