Individual provider Active NPI

Dyesebel Morales Solis, P.T

  • Physical Therapist
  • Lovington, NM
National Provider Identifier
1245760362
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4809 Issued in NM
Practice address
1600 N. Main Street
Nor-Lea Hospital District
Lovington, NM 88260
Phone
(575) 396-6611
NPI assigned
Jun 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4809 NM Primary

Addresses

Primary practice location

1600 N. Main Street
Nor-Lea Hospital District
Lovington, NM 88260

Mailing address

1700 Madison Road
Cincinnati, OH 45206
Phone (503) 339-6663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220107001806 OR Practitioner - Physical Therapist in Private Practice 9638561327 Reassigns benefits to 1 organization
I20231211002504 MT Practitioner - Physical Therapist in Private Practice 9638561327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridger Orthopedics and Sports Medicine PCGroup PAC ID 4587627096, 69 clinicians

Practice addresses (Care Compare)

3400 Laramie Dr
Bozeman, MT 59718-2005
Phone (406) 587-0122

Merit-based Incentive Payment System (MIPS)

Final score
80.93 of 100Reported as group
Quality
60.05
Promoting interoperability
100
Improvement activities
40
Cost
76.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4809NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clackamas Physical Therapy Associates, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Bridger Orthopedics and Sports Medicine, PC CurrentSince Oct 25, 2023 Accepting new patients

Locations

101 Frank Rd
Belgrade, MT 59714
Phone (406) 388-7229

1450 Ellis St
Ste 201
Bozeman, MT 59715
Phone (406) 522-1144

3400 Laramie Dr
Bozeman, MT 59718
Phone (406) 586-5694

11203 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 698-5500

Interoperability endpoints

  • Direct secure messaging: dyesebel.solis.1@12906.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12906/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245760362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MADISON ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45206",
            "telephone_number": "503-339-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N. MAIN STREET",
            "address_2": "NOR-LEA HOSPITAL DISTRICT",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "88260",
            "telephone_number": "575-396-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS",
        "first_name": "DYESEBEL",
        "middle_name": "MORALES",
        "name_prefix": "Ms.",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lovington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.