Active NPI
Jasmine Rae Stromberg, DPT
- Physical Therapist
- Albuquerque, NM
National Provider Identifier
1366159303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4697
- Practice address
- 6745 Academy Rd NE Ste a
Albuquerque, NM 87109-3373 - Phone
- (505) 933-7865
- NPI assigned
- Oct 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4697 | NM | Primary |
Addresses
Primary practice location
6745 Academy Rd NE Ste a
Albuquerque, NM 87109-3373
Mailing address
409 Girard Blvd SE
Albuquerque, NM 87106-2233
Other names 1
- Jasmine Rae Spencer
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jstromberg@scoliosisabq.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6745 Academy Rd NE
Suite a
Albuquerque, NM 87109-3373
Phone (505) 933-7865
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4697 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scoliosis Abq LLC | Physical Therapist | Current | Accepting new patients |
| Balanced Physical Therapy and Wellness, LLC | Physical Therapist | Current | Accepting new patients |
Locations
7849 Tramway Blvd NE
Ste A
Albuquerque, NM 87122
Phone (505) 821-3831
6745 Academy Rd NE
Ste A
Albuquerque, NM 87109
Phone (505) 301-8434
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Albuquerque, NM
- NPI 1407234917
Physical Therapist
-
- Orthopedic Physical Therapist
- Albuquerque, NM
- NPI 1144797432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1366159303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 GIRARD BLVD SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871062233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6745 ACADEMY RD NE STE A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093373",
"telephone_number": "505-933-7865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROMBERG",
"first_name": "JASMINE",
"middle_name": "RAE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-31",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "4697",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jstromberg@scoliosisabq.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "text",
"address_1": "6745 Academy Rd NE Ste A",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871093373",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JASMINE",
"last_name": "SPENCER",
"middle_name": "RAE",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 31, 2022; 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.