NPIMap

Organization Active NPI

Paradigm Physical Therapy and Wellness Inc

  • Physical Therapist
  • Los Lunas, NM
National Provider Identifier
1386651412
Registry record updated Nov 26, 2013
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
535 US Highway 314, SW
Los Lunas, NM 87031
Phone
(505) 866-0055
Fax
(505) 866-0057
NPI assigned
Aug 2, 2006
Last updated
Nov 26, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
PARADIGM PHYSICAL THERAPY AND WELLNESS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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
President/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 593 NM
Physical Therapist 225100000X 593 NM Primary

Addresses

Primary practice location

535 US Highway 314, SW
Los Lunas, NM 87031

Mailing address

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

Other identifiers 9

IdentifierTypeStateIssuer
1013214857OtherNMVALERIE GUTIERREZ, PT
1245380039OtherNMBERNAILLO FACILITY NPI#
1326062423OtherNMSTEVE WAGHORN NPI#
149775860OtherNMMARIE VALDEZ, PT NPI#
1215238910OtherNMPATRICK VIGIL NPI
1356491146OtherNMBELEN FACILITY NPI
1417971508OtherNMDONALD SANCHEZ NPI#
DC4165OtherNMGROUP RR MEDICARE
000Q0406MedicaidNM

Other names 1

  • Los Lunas Physical Therapy Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040802000232 NM Part B Supplier - Clinic/Group Practice 3476524802 Receives reassigned benefits from 32 practitioners
Practice locations: Albuquerque, NM; Belen, NM; Bernalillo, NM; Los Lunas, NM

National Provider Directory

National Provider Directory
Tax ID family
Christopher M Jobeck Ms4 organizations share this tax ID, including this one
Part of
Christopher M Jobeck Ms

Other organizations with this tax ID 3

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

Locations

221 S Main St
Ste 107
Belen, NM 87002
Phone (505) 861-1200

180 E Highway 550
Ste E
Bernalillo, NM 87004
Phone (505) 771-2447

535 Highway 314 SW
Los Lunas, NM 87031
Phone (505) 861-1200

Practitioners & affiliated clinicians

Practitioners 40

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 40

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1386651412",
    "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": "535 US HIGHWAY 314, SW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "87031",
            "telephone_number": "505-866-0055",
            "fax_number": "505-866-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM PHYSICAL THERAPY AND WELLNESS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARADIGM PHYSICAL THERAPY AND WELLNESS INC",
        "enumeration_date": "2006-08-02",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/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": "593",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALERIE GUTIERREZ, PT",
            "identifier": "1013214857",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BERNAILLO FACILITY NPI#",
            "identifier": "1245380039",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STEVE WAGHORN NPI#",
            "identifier": "1326062423",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARIE VALDEZ, PT  NPI#",
            "identifier": "149775860",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PATRICK VIGIL NPI",
            "identifier": "1215238910",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BELEN FACILITY NPI",
            "identifier": "1356491146",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DONALD SANCHEZ NPI#",
            "identifier": "1417971508",
            "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"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Lunas Physical Therapy Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Los Lunas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.