Kasey E Cerico, PT
Individual provider Active NPI Physical Therapist · Socorro, NM
NPI 1326548322 · NPPES record last updated Feb 1, 2023
Key facts
- NPI
- 1326548322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT4442 (NM)
- Practice address
- 1202 Highway 60
Socorro, NM 87801-3914 - Phone
- (575) 835-8761
- Fax
- (575) 835-8763
- NPI assigned
- Feb 15, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NM BNPT Investment LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1607 7th St
Ste C
Las Vegas, NM 87701
Phone (505) 429-3930
1972 Route 66
Santa Rosa, NM 88435
Phone (575) 472-1213
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT4442 | NM | Yes |
Addresses
Primary practice location
1202 Highway 60
Socorro, NM 87801-3914
Mailing address
1202 Highway 60
Socorro, NM 87801-3914
Phone (758) 358-7615
Other practice location 1
1972 Historic Route 66
Santa Rosa, NM 88435
Phone (575) 472-1213
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19457804 | Medicaid | NM |
Other providers in Socorro, NM
- Kendra Lee Burgoon
- Natasha Ashley Bustamante
- Ariana Jailyn Marie Bustos
- Deborah Card
- Caring Dental Center PC
- Katherine Jennifer Chavez
- Leslie Chavez
- Richard Chavez
- City of Socorro
- Robert Coleman
All providers in Socorro, NM · Physical Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.