NPIMap

Organization Active NPI

Paradigm Physical Therapy and Wellness Inc

  • Physical Therapist
  • Belen, NM
National Provider Identifier
1356491146
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
593 Issued in NM
Legal business name
PARADIGM PHYSICAL THERAPY AND WELLNESS INC
Practice address
1220 Camino del Llano
Belen, NM 87002-2727
Phone
(505) 866-0055
Fax
(505) 866-0057
NPI assigned
Jan 12, 2007
Last updated
Mar 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Mr. Donald Joseph Sanchez, PHYSICAL THERAPISTNPI 1417971508
Title
Pres/Owner
Phone
(505) 866-0055

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2251 NM
Physical Therapist 225100000X 593 NM Primary

Addresses

Primary practice location

1220 Camino del Llano
Belen, NM 87002-2727

Mailing address

535 Highway 314 SW
Los Lunas, NM 87031-9600
Phone (505) 866-0055

Other identifiers 8

IdentifierTypeStateIssuer
1245380039OtherNMBERNALILLO FACILITY NPI
1326062423OtherNMSTEVE WAGHORN, PT
1417971508OtherNMDONALD SANCHEZ' NPI
1215238910OtherNMPATRICK VIGIL, DPT
1386651412OtherNMLOS LUNAS FACILITY NPI
DC4165OtherNMGROUP RR MEDICARE
000Q0406MedicaidNM
1013214857OtherNMVALERIE GUTIERREZ, DPT

Other names 1

  • Los Lunas Physical Therapy Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Paradigm Physical Therapy and Wellness Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1220 Camino del Llano
Belen, NM 87002
Phone (505) 861-1200

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1356491146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 HIGHWAY 314 SW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870319600",
            "telephone_number": "505-866-0055",
            "fax_number": "505-866-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 CAMINO DEL LLANO",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870022727",
            "telephone_number": "505-866-0055",
            "fax_number": "505-866-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM PHYSICAL THERAPY AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRES/OWNER",
        "authorized_official_telephone_number": "505-866-0055",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NM",
            "license": "2251",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BERNALILLO FACILITY NPI",
            "identifier": "1245380039",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STEVE WAGHORN, PT",
            "identifier": "1326062423",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DONALD SANCHEZ' NPI",
            "identifier": "1417971508",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PATRICK VIGIL, DPT",
            "identifier": "1215238910",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOS LUNAS FACILITY NPI",
            "identifier": "1386651412",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RR MEDICARE",
            "identifier": "DC4165",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000Q0406",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALERIE GUTIERREZ, DPT",
            "identifier": "1013214857",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Lunas Physical Therapy Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Belen, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.