Organization Active NPI

Aspen Outpatient Services, LLC

  • Physical Therapist
  • Albuquerque, NM
National Provider Identifier
1346688645
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2775 Issued in NM
Legal business name
ASPEN OUTPATIENT SERVICES, LLC
Practice address
2929 Coors Blvd NW Ste 100
Albuquerque, NM 87120-1173
Phone
(505) 239-8969
Fax
(866) 447-8129
NPI assigned
Jun 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Authorized official

Name
Mrs. Alisa Levandoski, PTNPI 1316089683
Title
Member
Phone
(505) 239-8969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 2775 NM Primary

Addresses

Primary practice location

2929 Coors Blvd NW Ste 100
Albuquerque, NM 87120-1173

Mailing address

2929 Coors Blvd NW Ste 100
Albuquerque, NM 87120-1173
Phone (505) 239-8969

National Provider Directory

National Provider Directory

Locations

2929 Coors Blvd NW
Ste 10
Albuquerque, NM 87120
Phone (505) 239-8969

2929 Coors Blvd NW
Ste 100
Albuquerque, NM 87120
Phone (505) 239-8969

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1346688645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 COORS BLVD NW STE 100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201173",
            "telephone_number": "505-239-8969",
            "fax_number": "866-447-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 COORS BLVD NW STE 100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201173",
            "telephone_number": "505-239-8969",
            "fax_number": "866-447-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN OUTPATIENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "LEVANDOSKI",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "505-239-8969",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.