NPIMap

Organization Active NPI

New Mexico Physical Therapists Dba Vibrantcare

  • Specialist
  • Los Lunas, NM
National Provider Identifier
1285943787
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3896 Issued in NM
Legal business name
NEW MEXICO PHYSICAL THERAPISTS DBA VIBRANTCARE
Practice address
2211C Main St SE
Los Lunas, NM 87031-8297
Phone
(505) 866-1677
Fax
(505) 866-1767
NPI assigned
Sep 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Jennifer Nicholson
Title
HR
Phone
(800) 421-1965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 3896 NM Primary

Addresses

Primary practice location

2211C Main St SE
Los Lunas, NM 87031-8297

Mailing address

2270 Douglas Blvd Ste 112
Roseville, CA 95661-4239
Phone (800) 421-1965

National Provider Directory

National Provider Directory
Tax ID family
NM Physical Therapists5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

2211 Main St SE
Ste C
Los Lunas, NM 87031
Phone (505) 866-1677

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1285943787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 DOUGLAS BLVD STE 112",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614239",
            "telephone_number": "800-421-1965",
            "fax_number": "916-773-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211C MAIN ST SE",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870318297",
            "telephone_number": "505-866-1677",
            "fax_number": "505-866-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO PHYSICAL THERAPISTS DBA VIBRANTCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "HR",
        "authorized_official_telephone_number": "800-421-1965"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "3896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Lunas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.