Sean Abeyta
Individual provider Active NPI Physical Therapy Assistant · Silver City, NM
NPI 1356028674 · NPPES record last updated Jun 28, 2023
Key facts
- NPI
- 1356028674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA1001 (NM)
- Practice address
- 3514 N Fowler Ave
Silver City, NM 88061-7210 - Phone
- (575) 388-3127
- NPI assigned
- Jun 28, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA1001 | NM | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA1001 | NM | Yes |
Addresses
Primary practice location
3514 N Fowler Ave
Silver City, NM 88061-7210
Mailing address
11700 Grand Ave NE
Albuquerque, NM 87123-1323
Other practice location 1
11700 Grand Ave NE
Albuquerque, NM 87123-1323
Phone (505) 553-5329
Other providers in Silver City, NM
- 3514 Fowler Avenue Operations LLC
- 6TH District Court Adult Drug Court
- A Sacred Soul Acupunture Associates LLC
- Jasmine Jaylene Abeyta
- Roxanne Abeyta
- Felicia Acosta
- Acupuncture Collectivellc
- Holly Adams
- Roberto Aguero Blau
- Tanya Aguilar-Laws
All providers in Silver City, NM · Physical Therapy Assistant 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 Jun 28, 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.