Active NPI
Tiffany M Enache, P.T.
- Orthopedic Physical Therapist
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 3488
- Practice address
- 1540 Tramway Blvd NE Ste E
Albuquerque, NM 87112-6194 - Phone
- (505) 872-2276
- NPI assigned
- Aug 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Orthopedic Physical Therapist | 2251X0800X | 3488 | NM | Primary |
Addresses
Primary practice location
1540 Tramway Blvd NE Ste E
Albuquerque, NM 87112-6194
Mailing address
2000 Summer Breeze Dr NW
Albuquerque, NM 87120-7095
Phone (505) 974-7938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1540 Tramway Blvd NE
Suite E
Albuquerque, NM 87112-6194
Phone (505) 872-2276
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3488 | NM | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Physical Therapy and Wellness, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1540 Tramway Blvd NE
Ste E
Albuquerque, NM 87112
Phone (505) 872-2276
5528 Eubank Blvd NE
Ste 7
Albuquerque, NM 87111
Phone (505) 895-9901
7849 Tramway Blvd NE
Ste A
Albuquerque, NM 87122
Phone (505) 821-3831
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Albuquerque, NM
- NPI 1407234917
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671148800000",
"number": "1417149949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 SUMMER BREEZE DR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871207095",
"telephone_number": "505-974-7938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 TRAMWAY BLVD NE STE E",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871126194",
"telephone_number": "505-872-2276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENACHE",
"first_name": "TIFFANY",
"middle_name": "M",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-17",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NM",
"license": "3488",
"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 Dec 16, 2022; 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.