Individual provider Active NPI

Susan Halbig, PT, DPT

  • Orthopedic Physical Therapist
  • Albuquerque, NM
National Provider Identifier
1376010660
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
4504 Issued in NM
Practice address
6739 Academy Rd NE
Albuquerque, NM 87109-3351
Phone
(505) 920-9696
NPI assigned
Oct 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 4504 NM Primary

Addresses

Primary practice location

6739 Academy Rd NE
Albuquerque, NM 87109-3351

Mailing address

704 Madison St NE
Albuquerque, NM 87110-6217
Phone (505) 920-9696

Other practice location 1

6745 Academy Rd NE Ste A
Albuquerque, NM 87109-3373
Phone (505) 933-7865

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190405000692 NM Practitioner - Physical Therapist in Private Practice 6002157831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
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)

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

LicenseStateTypeSpecialty
4504NMMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Physical Therapy and Wellness, LLC Orthopedic CurrentSince Sep 8, 2024 Accepting new patients
Scoliosis Abq LLC Orthopedic CurrentSince Nov 1, 2018 Accepting new patients
Saguaro Physical Therapy Orthopedic CurrentSince Oct 1, 2022 Accepting new patients

Locations

6739 Academy Rd NE
Albuquerque, NM 87109
Phone (505) 433-5572

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 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": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1376010660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 MADISON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106217",
            "telephone_number": "505-920-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6739 ACADEMY RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093351",
            "telephone_number": "505-920-9696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6745 Academy Rd NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871093373",
            "country_code": "US",
            "telephone_number": "505-933-7865",
            "fax_number": "505-295-4179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALBIG",
        "first_name": "SUSAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NM",
            "license": "4504",
            "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 Sep 20, 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.