Active NPI
Theresa Ann Conatore, PTA
- Physical Therapy Assistant
- Las Cruces, NM
National Provider Identifier
1518248673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A-0630
- Practice address
- 301 Perkins Dr Ste C
Las Cruces, NM 88005-3248 - Phone
- (713) 397-6397
- Fax
- (575) 525-5641
- NPI assigned
- Sep 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | A-0630 | NM | Primary |
Addresses
Primary practice location
301 Perkins Dr Ste C
Las Cruces, NM 88005-3248
Mailing address
301 Perkins Dr Ste C
Las Cruces, NM 88005-3248
Phone (575) 523-7243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-0630 | NM | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Direct Therapy Services, LLP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Las Cruces, NM
- NPI 1386753010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1518248673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 PERKINS DR STE C",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053248",
"telephone_number": "575-523-7243",
"fax_number": "575-525-5641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 PERKINS DR STE C",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053248",
"telephone_number": "713-397-6397",
"fax_number": "575-525-5641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONATORE",
"first_name": "THERESA",
"middle_name": "ANN",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-02",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NM",
"license": "A-0630",
"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 Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.