Individual provider Active NPI

Bridget Colleen Mattes, DPT

  • Physical Therapist
  • Carlsbad, NM
National Provider Identifier
1538813928
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22007 Issued in NM
Practice address
126 S Canyon St
Carlsbad, NM 88220-5733
Phone
(575) 628-0503
Fax
(575) 628-3073
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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 PT22007 NM Primary

Addresses

Primary practice location

126 S Canyon St
Carlsbad, NM 88220-5733

Mailing address

PO Box 2860
Alamogordo, NM 88311-2860
Phone (575) 437-3351

Other practice location 1

601 W Mahone Dr
Artesia, NM 88210-2046
Phone (575) 746-2566

Other practice location 2

2351 Indian Wells Rd
Alamogordo, NM 88310-4607
Phone (575) 437-3351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230119001600 NM Practitioner - Physical Therapist in Private Practice 0244624971 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carlsbad Physical Therapy and Wellness Center LLCGroup PAC ID 6507836251, 5 clinicians

Practice addresses (Care Compare)

126 S Canyon St
Carlsbad, NM 88220-5733
Phone (575) 439-1397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alamogordo Physical Therapy & Wellness Center, Inc Physical Therapist CurrentSince Dec 29, 2022 Accepting new patients
Artesia Physical Therapy LLC Physical Therapist CurrentSince Nov 2, 2022 Accepting new patients
Carlsbad Physical Therapy & Wellness Center, LLC Physical Therapist CurrentSince Nov 2, 2022 Accepting new patients

Locations

2351 Indian Wells Rd
Alamogordo, NM 88310
Phone (575) 437-3351

601 W Mahone Dr
Artesia, NM 88210
Phone (575) 439-1397

126 S Canyon St
Carlsbad, NM 88220
Phone (505) 628-0503

Interoperability endpoints

  • Direct secure messaging: bridget.mattes.p4@direct.athleticoltd.nextgenshare.com

Organizations & group practices 3

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": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1538813928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2860",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883112860",
            "telephone_number": "575-437-3351",
            "fax_number": "575-437-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S CANYON ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205733",
            "telephone_number": "575-628-0503",
            "fax_number": "575-628-3073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W Mahone Dr",
            "address_purpose": "LOCATION",
            "city": "Artesia",
            "state": "NM",
            "postal_code": "882102046",
            "country_code": "US",
            "telephone_number": "575-746-2566",
            "fax_number": "575-746-6260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2351 Indian Wells Rd",
            "address_purpose": "LOCATION",
            "city": "Alamogordo",
            "state": "NM",
            "postal_code": "883104607",
            "country_code": "US",
            "telephone_number": "575-437-3351",
            "fax_number": "575-437-2622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTES",
        "first_name": "BRIDGET",
        "middle_name": "COLLEEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT22007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.