Anthony Lionel Arviso, PT
Individual provider Active NPI Physical Therapist · Gallup, NM
NPI 1548337009 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1548337009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2151 (NM)
- Practice address
- 1900 E Historic Highway 66
Suite 5
Gallup, NM 87301-4883 - Phone
- (505) 863-4199
- Fax
- (505) 863-4196
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1900 E Historic Hwy 66
Suite 1
Gallup, NM 87301-4883
1900 E Hwy 66
Suite 1
Gallup, NM 87301-4883
Phone (505) 863-4199
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111116000600 | NM | Practitioner - Physical Therapist in Private Practice | 6002080694 | Practice locations: Gallup, NM |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2151 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony L. Arviso | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2151 | NM | Yes |
Addresses
Primary practice location
1900 E Historic Highway 66
Suite 5
Gallup, NM 87301-4883
Mailing address
1900 E Historic Highway 66
Suite 5
Gallup, NM 87301-4883
Phone (505) 863-4199
Other providers in Gallup, NM
- Daisy Arsenault
- Bianca Arthur
- Kathleen J Arthur
- Nichole Larice Arthur
- Angela Arviso
- Tyler-Brooks Arviso
- Fernando Javier Arzola
- Sierra Rose Yazzie Asamoa-Tutu
- Alyssa Ashley
- Amber Dawn Ashley
All providers in Gallup, 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 Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.