PT First LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

225100000X Issued in NM

Legal business name

PT FIRST LLC

Practice address

4811 C Hardware Ave
Suite 3
Albuquerque, NM 87109-2021

Phone

(505) 577-8722

NPI assigned

Jul 12, 2007

Last updated

Apr 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Felipe J. Mares, PT, DPT, ATC/LNPI 1578650933

Title

Owner

Phone

(505) 884-4609

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Felipe J Mares, PT

  • Physical Therapist
  • Albuquerque, NM
  • NPI 1578650933
  Medicare reassignment NPD Authorized official
• Brandi Salena Greene, DPT

  • Physical Therapist
  • Albuquerque, NM
  • NPI 1821399395
  NPD (past)
• Winfield Scott Revels, PT

  • Physical Therapist
  • Kirtland AFB, NM
  • NPI 1952584799
  NPD (past)
• Paul Silovsky, PT

  • Orthopedic Physical Therapist
  • Topeka, KS
  • NPI 1619972593
  NPD (past)
• Amanda K Sodemann, DPT

  • Orthopedic Physical Therapist
  • Bozeman, MT
  • NPI 1962810242
  NPD (past)

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1255530044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 C HARDWARE AVE",
            "address_2": "SUITE 3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092021",
            "telephone_number": "505-884-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 C HARDWARE AVE",
            "address_2": "SUITE 3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092021",
            "telephone_number": "505-577-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT FIRST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "MARES",
        "authorized_official_first_name": "FELIPE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-884-4609",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT, ATC/L"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NM",
            "license": "225100000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82178836",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Pruneda
• Nathan Wyatt Prus, DPT
• Psyche Behavioral Health LLC
• Psychogenesis LLC (Psychogenesis)
• Psychology Associates, PC
• Ptcares Physiotherapy and Wellness
• Public Health Acupuncture of New Mexico
• Ulysses Puccetti
• Crystal Puccio, LMSW
• Beverly A Pucka, MD

• Physical Therapy Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, 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 Apr 5, 2019; 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.