Living Waters Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

3824 Issued in NM

Legal business name

LIVING WATERS PHYSICAL THERAPY

Practice address

955 Ranchero Rd
Bosque Farms, NM 87068-9123

Phone

(505) 369-8447

NPI assigned

Oct 28, 2014

Organization subpart

No

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

Authorized official

Name

Judith Patricia Barrett, PT

Title

Physical Therapist/ Owner

Phone

(505) 369-8447

Specialties & licenses 1

Addresses

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Louisa A Boyd, O.T.

  • Hand Occupational Therapist
  • Albuquerque, NM
  • NPI 1316989015
  NPD
• Karolyn Armijo

  • Physical Therapy Assistant
  • Bosque Farms, NM
  • NPI 1356712707
  NPD (past)

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1366847725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 RANCHERO RD",
            "city": "BOSQUE FARMS",
            "state": "NM",
            "postal_code": "870689123",
            "telephone_number": "505-369-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 RANCHERO RD",
            "city": "BOSQUE FARMS",
            "state": "NM",
            "postal_code": "870689123",
            "telephone_number": "505-369-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATERS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "505-369-8447",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NM",
            "license": "3824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Marie Jamros, LMT
• Janus J. de Cunae, DDS, LLC
• Elizabeth Nickless Joyce, OTR
• Jacqueline Kelly-Romero, RN, MSN, CCM
• Living Cross Ambulance Service, Inc.
• Amy Jeannie Maldonado, LMT
• Fatemeh Mansoori, C.F.N.P
• Margie J Wesley, LLC
• Manuela Helena Moya, SLP
• Michelle Mari Nelson, MSW

• All providers in Bosque Farms, NM
• Physical Therapy Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.