NPIMap

Organization Active NPI

Physical Therapy and Rehabilitation Services of Las Cruces, LLC

  • Physical Therapy Clinic/Center
  • Las Cruces, NM
National Provider Identifier
1316218910
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1564 Issued in NM
Legal business name
PHYSICAL THERAPY AND REHABILITATION SERVICES OF LAS CRUCES, LLC
Practice address
4151 Camino Coyote
Las Cruces, NM 88011-7096
Phone
(575) 522-0484
Fax
(575) 522-0483
NPI assigned
Jan 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Ava M Borde
Title
Coo
Phone
(575) 522-0484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1564 NM Primary

Addresses

Primary practice location

4151 Camino Coyote
Las Cruces, NM 88011-7096

Mailing address

4151 Camino Coyote
Las Cruces, NM 88011-7096
Phone (575) 522-0484

Other names 1

  • PHYSICAL THERAPY AND REHABILITATION SERVICES OF LAS CRUCES, INC. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Las Cruces Comprehensive Rehabilitation Inc2 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1316218910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 CAMINO COYOTE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117096",
            "telephone_number": "575-522-0484",
            "fax_number": "575-522-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 CAMINO COYOTE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117096",
            "telephone_number": "575-522-0484",
            "fax_number": "575-522-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY AND REHABILITATION SERVICES OF LAS CRUCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "BORDE",
        "authorized_official_first_name": "AVA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "575-522-0484"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NM",
            "license": "1564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSICAL THERAPY AND REHABILITATION SERVICES OF LAS CRUCES, INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.