NPIMap

Organization Active NPI

NM BNPT Investment LLC

Doing business as Physical Therapy Center

  • Physical Therapy Clinic/Center
  • Clovis, NM
National Provider Identifier
1275344236
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NM BNPT INVESTMENT LLC
Doing business as
Physical Therapy Center
Practice address
1609 N Prince St
Clovis, NM 88101-4850
Phone
(575) 935-0360
NPI assigned
Jan 17, 2025
Last updated
Jan 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Julie Radley
Title
Member
Phone
(713) 591-2256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1609 N Prince St
Clovis, NM 88101-4850

Mailing address

940 S Kimball Ave Ste 175
Southlake, TX 76092-9024

Other practice location 1

304 S Main Ave Ste 2
Portales, NM 88130-6218
Phone (575) 226-3375

Other names 1

  • Physical Therapy Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
NM BNPT Investment LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

304 S Main Ave
Ste 2
Portales, NM 88130
Phone (575) 226-3375

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1275344236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 S KIMBALL AVE STE 175",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 N PRINCE ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014850",
            "telephone_number": "575-935-0360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 S Main Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Portales",
            "state": "NM",
            "postal_code": "881306218",
            "country_code": "US",
            "telephone_number": "575-226-3375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NM BNPT INVESTMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "RADLEY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "713-591-2256"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clovis, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.