Active NPI
Brenda L Hadden, P.T.
- Physical Therapist
- Albuquerque, NM
National Provider Identifier
1568583367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3182
- Practice address
- 6330 Riverside Plaza LN NW Ste 150
Albuquerque, NM 87120-1803 - Phone
- (505) 312-7930
- Fax
- (505) 717-2818
- NPI assigned
- Apr 2, 2007
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | 3182 | NM | Primary |
Addresses
Primary practice location
6330 Riverside Plaza LN NW Ste 150
Albuquerque, NM 87120-1803
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 296-2223
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3182 | NM | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1568583367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "60440",
"telephone_number": "630-296-2223",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6330 RIVERSIDE PLAZA LN NW STE 150",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871201803",
"telephone_number": "505-312-7930",
"fax_number": "505-717-2818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDEN",
"first_name": "BRENDA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "3182",
"primary": true
}
],
"identifiers": [],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.