Individual provider Active NPI

Sheng Wu

  • Physical Therapist
  • Albuquerque, NM
National Provider Identifier
1548794357
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3771 Issued in NM
Practice address
4312 Carlisle Blvd NE
Albuquerque, NM 87107-4811
Phone
(505) 908-3430
NPI assigned
Apr 18, 2017
Last updated
Mar 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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 3771 NM Primary

Addresses

Primary practice location

4312 Carlisle Blvd NE
Albuquerque, NM 87107-4811

Mailing address

PO Box 35734
Albuquerque, NM 87176-5734
Phone (505) 908-5553

Other practice location 1

1025 Medical Arts Ave NE
Albuquerque, NM 87102-2708
Phone (505) 272-9017

Other identifiers 1

IdentifierTypeStateIssuer
86181556MedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180716003307 NM Practitioner - Physical Therapist in Private Practice 6800143389 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

4312 Carlisle Blvd NE
Albuquerque, NM 87107-4811
Phone (505) 908-5553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3771NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ptcares Physiotherapy and Wellness Physical Therapist CurrentSince Jun 12, 2018 Accepting new patients

Locations

3321 Candelaria Rd NE
Ste 102
Albuquerque, NM 87107

4312 Carlisle Blvd NE
Albuquerque, NM 87107
Phone (505) 323-3785

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1548794357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35734",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871765734",
            "telephone_number": "505-908-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 CARLISLE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074811",
            "telephone_number": "505-908-3430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Medical Arts Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871022708",
            "country_code": "US",
            "telephone_number": "505-272-9017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "SHENG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-18",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86181556",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.