Michelle Josephine Parra, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2023-2220 Issued in NM

Practice address

1 Linnie CT
Edgewood, NM 87015-9125

Phone

(505) 286-7838

NPI assigned

Nov 9, 2011

Last updated

Jul 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Solutions Therapy Serv IncGroup PAC ID 9638132830, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Active Solutions Therapy Serv Inc

  • Orthopedic Physical Therapist
  • Edgewood, NM
  • NPI 1720075880
  Medicare reassignment Care Compare group NPD
• Active Solutions Therapy Services, Inc

  dba Advanced Healing Physical Therapy

  • Physical Therapist
  • Fort Lupton, CO
  • NPI 1497190557
  NPD (past)

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1447537162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870150896",
            "telephone_number": "505-286-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LINNIE CT",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870159125",
            "telephone_number": "505-286-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRA",
        "first_name": "MICHELLE",
        "middle_name": "JOSEPHINE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-09",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6942",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT-2023-2220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Mexico Primary Care & Midwifery Services, Inc.
• Thu Thanh Nguyen, FNP
• Anna Catherine Nunn, MOT, OTR/L
• Nurturing Insight LLC
• Kristen Kay Olson
• Reev Victor Pierce, LPCC
• Placitas Mountain Medical, Inc
• Carmen Marie Polk, LMSW
• Khara Pompei, PHARMD
• Vivienne Prinz, CNP

• Physical Therapist in Edgewood, NM
• Providers in Edgewood, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.