Strong Again Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

STRONG AGAIN PHYSICAL THERAPY LLC

Practice address

1083 Prairie Zinnia Dr
Bernalillo, NM 87004-5801

Phone

(505) 933-7994

Fax

(505) 930-7136

NPI assigned

May 7, 2020

Organization subpart

No

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

Authorized official

Name

Cary Edgar

Title

Authorized Official

Phone

(480) 206-6240

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1467074955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 PRAIRIE ZINNIA DR",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870045801",
            "telephone_number": "505-933-7994",
            "fax_number": "505-930-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 PRAIRIE ZINNIA DR",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870045801",
            "telephone_number": "505-933-7994",
            "fax_number": "505-930-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRONG AGAIN PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "EDGAR",
        "authorized_official_first_name": "CARY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-206-6240"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Bernalillo, NM
• Providers in Bernalillo, 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 Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.