Active NPI
Anna Marie Tucker, PT
- Physical Therapist
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4465
- Practice address
- 1181 Mall Dr
Las Cruces, NM 88011-8105 - Phone
- (575) 522-0766
- Fax
- (575) 522-4659
- NPI assigned
- Jun 7, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4465 | NM | Primary |
Addresses
Primary practice location
1181 Mall Dr
Las Cruces, NM 88011-8105
Mailing address
2404 S Locust St Ste 5
Las Cruces, NM 88001-5789
Phone (575) 521-4188
Other practice location 1
576 N Telshor Blvd
Las Cruces, NM 88011-8223
Phone (575) 515-0101
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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
576 N Telshor Blvd
Las Cruces, NM 88011-8223
Phone (575) 515-0101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4465 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Physical Therapy and Wellness, LLC | Physical Therapist | Current | Accepting new patients |
| Real View Diagnostics LLC | Physical Therapist | Current | Accepting new patients |
| Graceful Aging LLC | Current | Accepting new patients | |
| Odyssey Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Border Therapy Services LLC | Physical Therapist | Past | Accepting new patients |
Locations
7849 Tramway Blvd NE
Ste A
Albuquerque, NM 87122
Phone (505) 821-3831
576 N Telshor Blvd
Ste A
Las Cruces, NM 88011
576 N Telshor Blvd
Las Cruces, NM 88011
Phone (575) 515-0101
2404 S Locust St
Ste 5
Las Cruces, NM 88001
Phone (505) 521-4188
1845 Northwestern Dr
Ste B
El Paso, TX 79912
Phone (915) 875-1559
Organizations & group practices 6
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
-
- Gerontology Nurse Practitioner
- Las Cruces, NM
- NPI 1053883306
-
- Physical Therapist
- Las Cruces, NM
- NPI 1881348100
-
- Physical Therapist
- Canutillo, TX
- NPI 1336882026
-
- Physical Therapist
- Las Cruces, NM
- NPI 1437674264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1497168447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2404 S LOCUST ST STE 5",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880015789",
"telephone_number": "575-521-4188",
"fax_number": "575-521-3668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1181 MALL DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118105",
"telephone_number": "575-522-0766",
"fax_number": "575-522-4659"
}
],
"practiceLocations": [
{
"address_1": "576 N Telshor Blvd",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880118223",
"country_code": "US",
"telephone_number": "575-515-0101",
"fax_number": "505-334-1999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUCKER",
"first_name": "ANNA",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-07",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "4465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.