Individual provider Active NPI

Teriann Marie Chavez, PT

  • Physical Therapist
  • Albuquerque, NM
National Provider Identifier
1407922818
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2746 Issued in NM
Practice address
505 Elm St NE
Albuquerque, NM 87102-2500
Phone
(505) 727-4721
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2746 NM Primary

Addresses

Primary practice location

505 Elm St NE
Albuquerque, NM 87102-2500

Mailing address

4805 Mesa Bonita CT NW
Albuquerque, NM 87120-3371
Phone (505) 400-5103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181217001565 NM Practitioner - Physical Therapist in Private Practice 1052656261 Reassigns benefits to 1 organization
I20230830001665 TX Practitioner - Physical Therapist in Private Practice 1052656261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of New Mexico School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lovelace Unm Rehabilitation Hospital, LLCGroup PAC ID 5799061917, 24 clinicians

Practice addresses (Care Compare)

111 Rio Rancho Blvd SE
Suite 110
Rio Rancho, NM 87124-7020
Phone (505) 727-4950

129 A Canal St
Jemez Pueblo, NM 87024-1542
Phone (575) 834-9168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2746NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lovelace Unm Rehabilitation Hospital LLC Current Accepting new patients
Lovelace Unm Rehabilitation Hospital, LLC CurrentSince Dec 1, 2018 Accepting new patients
Kewa Pueblo Health Corporation CurrentSince May 18, 2023 Accepting new patients
Lovelace Unm Rehabilitation Hospital LLC Physical Therapist CurrentSince Dec 1, 2018 Accepting new patients
Kewa Pueblo Health Corporation Past Accepting new patients

Locations

505 Elm St NE
Albuquerque, NM 87102
Phone (505) 727-4700

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

111 Rio Rancho Blvd SE
Rio Rancho, NM 87124
Phone (505) 727-4950

85 W Highway 22
Santo Domingo Pueblo, NM 87052
Phone (505) 465-3060

Organizations & group practices 5

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407922818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 MESA BONITA CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203371",
            "telephone_number": "505-400-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 ELM ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022500",
            "telephone_number": "505-727-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "TERIANN",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2746",
            "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 Jul 8, 2007; 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.