Organization Active NPI

Rebound Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Los Alamos, NM
National Provider Identifier
1285602466
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1558 Issued in NM
Legal business name
REBOUND PHYSICAL THERAPY INC
Practice address
4717 Quemazon
Los Alamos, NM 87544-1889
Phone
(505) 662-2225
NPI assigned
Mar 14, 2006
Last updated
Nov 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Ms. Cindy LawtonNPI 1386749034
Title
Director
Phone
(505) 662-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1451 NM
Physical Therapy Clinic/Center 261QP2000X 1558 NM Primary
Physical Therapy Clinic/Center 261QP2000X 3141 NM

Addresses

Primary practice location

4717 Quemazon
Los Alamos, NM 87544-1889

Mailing address

4717 Quemazon
Los Alamos, NM 87544-1889
Phone (505) 662-2225

Other identifiers 3

IdentifierTypeStateIssuer
12121481OtherWIAMERICAN MEDICAL SECURITY
233792OtherUTUNITED HEALTHCARE
609045000OtherDCUS DEPT OF LABOR

National Provider Directory

National Provider Directory

Locations

4717 Quemazon
Unit A
Los Alamos, NM 87544
Phone (505) 662-2225

Practitioners & affiliated clinicians

Practitioners 2

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": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1285602466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 QUEMAZON",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875441889",
            "telephone_number": "505-662-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 QUEMAZON",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875441889",
            "telephone_number": "505-662-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOUND PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "LAWTON",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-662-2225",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NM",
            "license": "1451",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NM",
            "license": "1558",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NM",
            "license": "3141",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN MEDICAL SECURITY",
            "identifier": "12121481",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "233792",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "609045000",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.