June Marie Hacker, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3132 Issued in NM

Practice address

111 Dona Ana Dr
Taos, NM 87571-4108

Phone

(575) 737-0715

Fax

(575) 737-0601

NPI assigned

Jan 8, 2021

Last updated

Jan 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Norah Bishop Physical Therapy LLCGroup PAC ID 7113105982, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Norah Bishop Physical Therapy LLC

  • Physical Therapist
  • Taos, NM
  • NPI 1518251479
  Medicare reassignment Care Compare group NPD
• Taos Physical Therapy, Inc.

  • Physical Therapist
  • Taos, NM
  • NPI 1205934619
  NPD (past)

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1306434980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2948",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875712948",
            "telephone_number": "575-737-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DONA ANA DR",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875714108",
            "telephone_number": "575-737-0715",
            "fax_number": "575-737-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKER",
        "first_name": "JUNE",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT3132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT3132",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Renee Gutierrez, DPT
• Ray Gutierrez
• Dan Guttmann, M.D.
• Stephanie A. Gutz, LISW
• Habitat for Humanity of Taos, Inc.
• Nakeesha Haelen, LCSW
• Tari Lynn Hagan, LISW
• Hahn Counseling
• George Fritz Hahn, LISW
• Marcus Anthony Hall

• Physical Therapist in Taos, NM
• Providers in Taos, 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 Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.