McFall Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1132 Issued in NM

Legal business name

MCFALL PHYSICAL THERAPY, LLC

Practice address

932 Gallinas St
Suite 103
Las Vegas, NM 87701-3891

Phone

(505) 425-7762

Fax

(505) 454-0801

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Michael Len McFall, RPTNPI 1396814075

Title

Owner

Phone

(505) 425-7762

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael L McFall, RPT

  • Physical Therapist
  • Las Vegas, NM
  • NPI 1396814075
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1285806406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 HOT SPRINGS BLVD STE A",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014119",
            "telephone_number": "505-425-7762",
            "fax_number": "505-454-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 GALLINAS ST",
            "address_2": "SUITE 103",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877013891",
            "telephone_number": "505-425-7762",
            "fax_number": "505-454-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCFALL PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "MCFALL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-425-7762",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "1132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000S3555",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hazel Mascarenas
• Sarah Ann Mayer-Swift, LPCC
• Terry Stephen Maznio, LMSW
• Pamela McCrary, LBSW
• Rose Marie McDonald, CNP
• Michael L McFall, RPT
• Cindy Ann McLeod, MA
• Mignon Elisse McNicol, LISW
• Meadow City Assisted Living LLC
• Bernadine Joann Medina

• Physical Therapist in Las Vegas, NM
• Providers in Las Vegas, 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 Sep 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.