Individual provider Active NPI

Donald J Sanchez, P.T.

  • Physical Therapist
  • Los Lunas, NM
National Provider Identifier
1417971508
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
593 Issued in NM
Practice address
535 US Highway 314, SW
Los Lunas, NM 87031
Phone
(505) 861-1200
Fax
(505) 861-1220
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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 593 NM Primary

Addresses

Primary practice location

535 US Highway 314, SW
Los Lunas, NM 87031

Mailing address

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

Other identifiers 6

IdentifierTypeStateIssuer
593OtherNMNM STATE LICENSE
1356491146OtherNMBELEN FACILITY NPI
1386651412OtherNMLOS LUNAS FACILITY NPI
650012467OtherNMRAILROAD MEDICARE
1245380039OtherNMBERNALILLO FACILITY NPI
000Q0406OtherNMMEDICAID GROUP #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040820000188 NM Practitioner - Physical Therapist in Private Practice 6204807654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paradigm Physical Therapy and Wellness IncGroup PAC ID 3476524802, 13 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
593NMMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paradigm Physical Therapy and Wellness Inc Physical Therapist CurrentSince Sep 30, 1996 Accepting new patients
Paradigm Physical Therapy and Wellness Physical Therapist Past Accepting new patients
Paradigm Physical Therapy and Wellness Inc Past Accepting new patients
Paradigm Physical Therapy and Wellness Inc Physical Therapist PastSince Sep 1, 2004 Accepting new patients

Locations

1220 Camino del Llano
Belen, NM 87002
Phone (505) 861-1200

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

Organizations & group practices 4

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1417971508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 US HIGHWAY 314, SW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "87031",
            "telephone_number": "505-861-1200",
            "fax_number": "505-861-1220"
        },
        {
            "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": "505-861-1200",
            "fax_number": "505-861-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "DONALD",
        "middle_name": "J",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM STATE LICENSE",
            "identifier": "593",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BELEN FACILITY NPI",
            "identifier": "1356491146",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOS LUNAS FACILITY NPI",
            "identifier": "1386651412",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "650012467",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BERNALILLO FACILITY NPI",
            "identifier": "1245380039",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP #",
            "identifier": "000Q0406",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 3, 2010; 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.