Ortho Sport & Spine Physicians of New Mexico LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ORTHO SPORT & SPINE PHYSICIANS OF NEW MEXICO LLC

Doing business as

ALB Pain Management & Spine

Practice address

4620 Jefferson LN NE
Albuquerque, NM 87109-2120

Phone

(678) 752-7246

NPI assigned

Jun 27, 2023

Organization subpart

No

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

Authorized official

Name

Indhira Almonte

Title

Director

Phone

(678) 752-7246

Specialties & licenses 1

Addresses

Other names 1

• ALB Pain Management & Spine Doing business as

Tax ID family

Alb Pain Management Spine3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Ortho Sport & Spine Physicians Albuquerque

  • Physical Medicine & Rehabilitation Physician
  • Albuquerque, NM
  • NPI 1073342424
  NPD tax ID
• Ortho Sport & Spine Physicians Santa Fe

  • Physical Medicine & Rehabilitation Physician
  • Santa Fe, NM
  • NPI 1912730102
  NPD tax ID

Locations

Practitioners 1

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

• Stephen Charles Sirota, MD

  • Interventional Pain Medicine Physician
  • Phoenix, AZ
  • NPI 1720074800

  Physical Medicine & Rehabilitation

  NPD (past)

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1396421038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5788 ROSWELL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284904",
            "telephone_number": "678-752-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 JEFFERSON LN NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092120",
            "telephone_number": "678-752-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO SPORT & SPINE PHYSICIANS OF NEW MEXICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "ALMONTE",
        "authorized_official_first_name": "INDHIRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-752-7246"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALB Pain Management & Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stefan Ortega
• Yaokuauhtli Ortega
• Eric Oscar Ortegren, LMSW
• Ortho PT PC
• Ortho Sport & Spine Physicians Albuquerque
• Orthodontic Specialists of Albuquerque Santa Fe
• Orthopaedic Bone & Joint Specialists PA
• Miguel Angel Ortiz Campos
• Max Ortiz Concha, LISW
• Iris Ortiz de Garcia

• Physical Medicine & Rehabilitation Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Medicine & Rehabilitation Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.