Southwest Orthopaedic Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SOUTHWEST ORTHOPAEDIC PHYSICAL THERAPY LLC

Practice address

1334 Wyoming Blvd NE
Albuquerque, NM 87112-5067

Phone

(505) 292-3317

Fax

(505) 292-3402

NPI assigned

Jun 22, 2006

Last updated

May 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kale Ross IsaacsonNPI 1831186485

Title

Managing Member LLC/Owner

Phone

(505) 292-3317

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kale R Isaacson, P.T.

  • Orthopedic Physical Therapist
  • Albuquerque, NM
  • NPI 1831186485
  Medicare reassignment Care Compare group NPD Authorized official
• Jay E Stoltzfus, P.T.

  • Physical Therapist
  • Tijeras, NM
  • NPI 1770785719
  Medicare reassignment Care Compare group NPD
• Leslie Diane Boone, MPT

  • Physical Therapist
  • Truth Or Consequences, NM
  • NPI 1780690941
  Medicare reassignment NPD
• William Hugh Breland

  • Physical Therapist
  • Burkburnett, TX
  • NPI 1518963362

  NM

  Medicare reassignment NPD
• Graziella A McCall, DPT

  • Physical Therapist
  • Albuquerque, NM
  • NPI 1851725360
  NPD
• Josefina Brianna Isaacson, DOM

  • Acupuncturist
  • Albuquerque, NM
  • NPI 1710534037
  NPD (past)
• Nella Sanchez-Cook, PT

  • Physical Therapist
  • Santa Fe, NM
  • NPI 1306876727
  NPD (past)
• Lisa C Curtis, D.P.T.

  • Orthopedic Physical Therapist
  • Honolulu, HI
  • NPI 1639280449
  NPD (past)
• Jean Ann Holm, P.T.

  • Physical Therapist
  • Tucson, AZ
  • NPI 1346499589
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1346276508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 WYOMING BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125067",
            "telephone_number": "505-292-3317",
            "fax_number": "505-292-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 WYOMING BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125067",
            "telephone_number": "505-292-3317",
            "fax_number": "505-292-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST ORTHOPAEDIC PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "ISAACSON",
        "authorized_official_first_name": "KALE",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "MANAGING MEMBER LLC/OWNER",
        "authorized_official_telephone_number": "505-292-3317",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07726333",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southwest Neuropsychology and Behavioral Health, LLC
• Southwest Neurosurgical Associates PC
• Southwest Nutrition, LLC
• Southwest Oral & Maxillofacial Surgery
• Southwest Oral and Maxillofacial Surgeons LLC
• Southwest Podiatry Center PC
• Southwest Psychotherapy, Inc (Susan Lane LPCC)
• Southwest Pueblo Consultants & Counseling Services
• Southwest Pueblo Consultants and Counseling Services, LLC
• Southwest Recovery and Wellness LLC

• Physical Therapist in Albuquerque, NM
• Providers in Albuquerque, 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 May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.