Spine & Muscle Rehabilitation

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

5603 Issued in NM

Legal business name

SPINE & MUSCLE REHABILITATION

Practice address

1605 El Paseo Rd
Suite C
Las Cruces, NM 88001-6010

Phone

(575) 525-9960

Fax

(575) 525-9958

NPI assigned

Jun 23, 2015

Last updated

Jun 23, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

SPINE & MUSCLE REHABAs reported in NPPES

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

Authorized official

Name

Miss Raquel Marie Emanuel, LMT, RMTI, CNMT

Title

Office Manager

Phone

(575) 525-9960

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rainbow's Legacy Former legal business name

Tax ID family

Spine Muscle Rehabilitation3 organizations share this tax ID, including this one

Part of

Spine Muscle Rehabilitation

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Spine and Muscle

  • Rehabilitation Clinic/Center
  • Albuquerque, NM
  • NPI 1659543742
  NPD tax ID
• Spine and Muscle Reabilation

  • Point of Service
  • Albuquerque, NM
  • NPI 1558512160
  NPD tax ID

Locations

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1346622651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 EL PASEO RD",
            "address_2": "SUITE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880016010",
            "telephone_number": "575-525-9960",
            "fax_number": "575-525-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 EL PASEO RD",
            "address_2": "SUITE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880016010",
            "telephone_number": "575-525-9960",
            "fax_number": "575-525-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & MUSCLE REHABILITATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPINE & MUSCLE REHAB",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "EMANUEL",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "575-525-9960",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMT, RMTI, CNMT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NM",
            "license": "5603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212488172",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow's Legacy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Spence Speech and Language Therapy
• Mary Spence, M.S., CCC-SLP
• Mark Spencer, CASE MANAGER
• Thomas D Spera, MD
• Chantal Jeannine Spilliaert, MASSAGE THERAPIST
• Spinous Chiropractic Center, LLC
• Nancy M Spivey, MS, CCC-SLP
• Madalyn Elyse Sprague
• Maranda Spurlin
• Pamela Sriharsha

• Health Maintenance Organization in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Health Maintenance Organization in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.