Individual provider Active NPI

Anna Marie Tucker, PT

  • Physical Therapist
  • Las Cruces, NM
National Provider Identifier
1497168447
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4465 Issued in NM
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

Updated by the provider on Jun 2, 2025

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 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

Enrollment IDStateProvider typePAC IDDetails
I20141223001427 NM Practitioner - Physical Therapist in Private Practice 7719200781 Reassigns benefits to 3 organizations

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
Balanced Physical Therapy and Wellness LLCGroup PAC ID 9032427513, 50 clinicians

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

LicenseStateTypeSpecialty
4465NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Physical Therapy and Wellness, LLC Physical Therapist CurrentSince Mar 5, 2025 Accepting new patients
Real View Diagnostics LLC Physical Therapist CurrentSince Aug 8, 2014 Accepting new patients
Graceful Aging LLC CurrentSince Mar 1, 2021 Accepting new patients
Odyssey Physical Therapy Physical Therapist Current Accepting new patients
Border Therapy Services LLC Physical Therapist PastSince Nov 5, 2018 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.

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.

Verify at the official NPI Registry.