Individual provider Active NPI

Maggie Covell, DPT

  • Physical Therapist
  • Albuquerque, NM
National Provider Identifier
1356096663
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6059 Issued in NM
Practice address
5150 San Francisco Rd NE
Albuquerque, NM 87109-4396
Phone
(505) 336-7711
Fax
(505) 213-8245
NPI assigned
Feb 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6059 NM Primary

Addresses

Primary practice location

5150 San Francisco Rd NE
Albuquerque, NM 87109-4396

Mailing address

535 US NM-314
Los Lunas, NM 87031-1219
Phone (505) 866-0055

Other practice location 1

535 US NM 314
Los Lunas, NM 87031
Phone (505) 727-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230124001114 NM Practitioner - Physical Therapist in Private Practice 6800267154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balanced Physical Therapy and Wellness LLCGroup PAC ID 9032427513, 50 clinicians

Practice addresses (Care Compare)

5150 San Francisco Rd NE
Suite B
Albuquerque, NM 87109-4640
Phone (505) 336-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6059NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paradigm Physical Therapy and Wellness Inc Physical Therapist CurrentSince Jan 3, 2023 Accepting new patients
Balanced Physical Therapy and Wellness, LLC Physical Therapist CurrentSince Mar 17, 2025 Accepting new patients
Paradigm Physical Therapy and Wellness Physical Therapist PastSince Jan 3, 2023 Accepting new patients

Locations

5150 San Francisco Rd NE
Ste B
Albuquerque, NM 87109
Phone (505) 336-7711

7849 Tramway Blvd NE
Ste A
Albuquerque, NM 87122
Phone (505) 821-3831

535 Highway 314 SW
Los Lunas, NM 87031
Phone (505) 861-1200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1356096663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 US NM-314",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870311219",
            "telephone_number": "505-866-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 SAN FRANCISCO RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094396",
            "telephone_number": "505-336-7711",
            "fax_number": "505-213-8245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 US NM 314",
            "address_purpose": "LOCATION",
            "city": "Los Lunas",
            "state": "NM",
            "postal_code": "87031",
            "country_code": "US",
            "telephone_number": "505-727-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COVELL",
        "first_name": "MAGGIE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "6059",
            "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 Dec 9, 2024; 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.

Verify at the official NPI Registry.