Lesley M Maguire, P.T.
Individual provider Active NPI Physical Therapist · Animas, NM
NPI 1407004609 · NPPES record last updated Sep 3, 2008
Key facts
- NPI
- 1407004609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2021 (NM)
- Practice address
- SW Regional Ed Center #10
Animas, NM 88020 - Phone
- (575) 555-5555
- NPI assigned
- Sep 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021 | NM | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2021 | NM | Yes |
Addresses
Primary practice location
SW Regional Ed Center #10
Animas, NM 88020
Mailing address
2591 Sunland Ave
Las Cruces, NM 88012-8312
Phone (575) 373-3145
Other providers in Animas, NM
All providers in Animas, NM · Physical Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.