Organization Active NPI

Topline Therapy LLC

  • Physical Therapy Clinic/Center
  • Ruidoso, NM
National Provider Identifier
1568012565
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TOPLINE THERAPY LLC
Practice address
2801 Sudderth Dr Ste C
Ruidoso, NM 88345-6340
Phone
(575) 808-8721
Fax
(575) 808-8723
NPI assigned
Sep 12, 2019
Last updated
Nov 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jason L FerrellNPI 1558980763
Title
Manager
Phone
(817) 243-6468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

2801 Sudderth Dr Ste C
Ruidoso, NM 88345-6340

Mailing address

125 Vista Rio Bonito Dr
Alto, NM 88312-9400
Phone (575) 808-8721

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210203000034 NM Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4385058353 Receives reassigned benefits from 2 practitioners
Practice locations: Ruidoso, NM

National Provider Directory

National Provider Directory

Locations

1602 E Greene St
Carlsbad, NM 88220

1129 Mechem Dr
Ste C
Ruidoso, NM 88345
Phone (575) 808-8721

2801 Sudderth Dr
Ste C
Ruidoso, NM 88345
Phone (575) 808-8721

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1568012565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 VISTA RIO BONITO DR",
            "city": "ALTO",
            "state": "NM",
            "postal_code": "883129400",
            "telephone_number": "575-808-8721",
            "fax_number": "575-808-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 SUDDERTH DR STE C",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456340",
            "telephone_number": "575-808-8721",
            "fax_number": "575-808-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOPLINE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-243-6468"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruidoso, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.