Active NPI
Dennis L Prickett, PT
- Physical Therapist
- Las Cruces, NM
National Provider Identifier
1336142744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1147
- Practice address
- 1115 Commerce Dr
Suite C
Las Cruces, NM 88011 - Phone
- (575) 525-2450
- Fax
- (575) 522-9075
- NPI assigned
- May 31, 2005
- Last updated
- Feb 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1147 | NM | Primary |
Addresses
Primary practice location
1115 Commerce Dr
Suite C
Las Cruces, NM 88011
Mailing address
1115 Commerce Dr
Suite C
Las Cruces, NM 88011-8247
Phone (575) 525-2450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K8214 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1115 Commerce Dr
Suite C
Las Cruces, NM 88011-8248
Phone (575) 525-2450
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1147 | NM | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrium Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
1115 Commerce Dr
Ste C
Las Cruces, NM 88011
Phone (505) 525-2450
Organizations & group practices 1
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.
-
- Physical Therapist
- Las Cruces, NM
- NPI 1174719546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1336142744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 COMMERCE DR",
"address_2": "SUITE C",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118247",
"telephone_number": "575-525-2450",
"fax_number": "575-522-9075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 COMMERCE DR",
"address_2": "SUITE C",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88011",
"telephone_number": "575-525-2450",
"fax_number": "575-522-9075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICKETT",
"first_name": "DENNIS",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "1147",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "K8214",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
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 Feb 8, 2022; 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.