Karolyn Armijo

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A-1045 Issued in NM

Practice address

2195 Bosque Farms Blvd
Bosque Farms, NM 87068-8941

Phone

(505) 916-5063

NPI assigned

Oct 12, 2015

Last updated

Oct 12, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Living Waters Physical Therapy

  • Physical Therapy Clinic/Center
  • Bosque Farms, NM
  • NPI 1366847725
  NPD (past)

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1356712707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 BOSQUE FARMS BLVD",
            "city": "BOSQUE FARMS",
            "state": "NM",
            "postal_code": "870688941",
            "telephone_number": "505-916-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 BOSQUE FARMS BLVD",
            "city": "BOSQUE FARMS",
            "state": "NM",
            "postal_code": "870688941",
            "telephone_number": "505-916-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMIJO",
        "first_name": "KAROLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "A-1045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Elizabeth Abeita
• Melanie Bennett
• Bosque Family and Cosmetic Dentistry LLC
• Bosque Therapy Center, LLC
• Buen Camino Psychiatric & Mental Health Clinic
• Alyssa Marie Chavez-Pierce

• Physical Therapy Assistant in Bosque Farms, NM
• Providers in Bosque Farms, NM by specialty
• Physical Therapy Assistant in New Mexico

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