Active NPI
Rachel Grazda
- Physical Therapist
- Albuquerque, NM
National Provider Identifier
1275195869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5506
- Practice address
- 201 Cedar St SE Ste 6600
Albuquerque, NM 87106-5411 - Phone
- (505) 724-4384
- NPI assigned
- Jul 3, 2019
- Last updated
- May 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5506 | NM | Primary |
Addresses
Primary practice location
201 Cedar St SE Ste 6600
Albuquerque, NM 87106-5411
Mailing address
10908 Hanalei Ave NE
Albuquerque, NM 87111-1940
Phone (505) 220-8878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5506 | NM | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1275195869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10908 HANALEI AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871111940",
"telephone_number": "505-220-8878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CEDAR ST SE STE 6600",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871065411",
"telephone_number": "505-724-4384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAZDA",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-03",
"last_updated": "2022-05-11",
"certification_date": "2022-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "PT5506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.