John David Paz, DPT
Individual provider Active NPI Physical Therapist · Holloman Afb, NM
NPI 1508536202 · NPPES record last updated Apr 5, 2025
Key facts
- NPI
- 1508536202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT015612 (GA)
- Practice address
- 280 David L. Goldfein Street, BLDG 23,
Holloman Afb, NM 88330 - Phone
- (575) 572-0889
- NPI assigned
- Sep 15, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT015612 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Rehabilitation-Georgia Inc | Past |
Accepting new patients | |
| Matrix Rehabilitation-Georgia Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT015612 | GA | Yes |
Addresses
Primary practice location
280 David L. Goldfein Street, BLDG 23,
Holloman Afb, NM 88330
Mailing address
280 1St St
Holloman Afb, NM 88330-7872
Other providers in Holloman Afb, NM
- Lauren Danielle Olivares
- Regina Marie Ortega
- Jessica Pagano
- Mary Patric
- Samuel Henry Patton
- Nicole Ann Percy
- Janice Perido
- Jahna Marie Perrine
- Catherine L. Pitts
- Dorie Elaine Pitzer
All providers in Holloman Afb, NM · Physical Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.