NPIMap

Organization Active NPI

Wholistic Physical Therapy, Inc

  • Community/Behavioral Health Agency
  • Rio Rancho, NM
National Provider Identifier
1477866523
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1217 Issued in NM
Legal business name
WHOLISTIC PHYSICAL THERAPY, INC
Practice address
117 Elm CT SE
Rio Rancho, NM 87124-8213
Phone
(505) 891-4505
NPI assigned
Jul 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Authorized official

Name
Kim Butters, P.T.NPI 1811027485
Title
Clinical Director
Phone
(505) 891-4505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1217 NM Primary

Addresses

Primary practice location

117 Elm CT SE
Rio Rancho, NM 87124-8213

Mailing address

117 Elm CT SE
Rio Rancho, NM 87124-8213
Phone (505) 891-4505

Other identifiers 1

IdentifierTypeStateIssuer
D3914MedicaidNM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1477866523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ELM CT SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871248213",
            "telephone_number": "505-891-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 ELM CT SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871248213",
            "telephone_number": "505-891-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLISTIC PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "BUTTERS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "505-891-4505",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "1217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D3914",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.