Marcus Salazar Cordova

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2024-0154 Issued in NM

Practice address

2401 Cabezon Blvd SE Ste 102
Rio Rancho, NM 87124-1513

Phone

(505) 994-2599

NPI assigned

May 8, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Armada Physical Therapy of Albuquerque LLCGroup PAC ID 9830328954, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Armada Physical Therapy of Albuquerque LLC

  dba Armada Physical Therapy

  • Multi-Specialty Clinic/Center
  • Albuquerque, NM
  • NPI 1851713663
  Medicare reassignment Care Compare group NPD
• Jumpstart, LLC

  dba JumpStart Autism Center

  • Behavior Analyst
  • Albuquerque, NM
  • NPI 1225206105
  NPD (past)
• Jumpstart, LLC

  dba JumpStart Autism Screening and Evaluations

  • Clinical Child & Adolescent Psychologist
  • Albuquerque, NM
  • NPI 1477386852
  NPD (past)

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1255996989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 CABEZON BLVD SE STE 102",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 CABEZON BLVD SE STE 102",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241513",
            "telephone_number": "505-994-2599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8500 Washington St NE Ste A1",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871131861",
            "country_code": "US",
            "telephone_number": "505-828-3837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "MARCUS",
        "middle_name": "SALAZAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-08",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT-2024-0154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Coolman, PHYSICIAN ASSISTANT
• Corazon Family Health PC (Atrinea Health)
• Joycelynn Mychele Cordero, LMHC
• Amanda Nicole Cordova
• Loretta Cordova, LMSW
• Maxine Cordova, LMSW
• McKenzie Cordova
• Natalie Cordova
• Tina Renee Cordova, RN
• Yvonne Cordova

• Physical Therapist in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.