Individual provider Active NPI

Felipe J Mares, PT

  • Physical Therapist
  • Albuquerque, NM
National Provider Identifier
1578650933
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3293 Issued in NM
Practice address
4811 Hardware Dr NE
Albuquerque, NM 87109-2017
Phone
(505) 884-4609
Fax
(505) 884-4015
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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 3293 NM Primary

Addresses

Primary practice location

4811 Hardware Dr NE
Albuquerque, NM 87109-2017

Mailing address

4811C Hardware Dr NE
Ste 3
Albuquerque, NM 87109-2019
Phone (505) 884-4609

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090901000236 NM Practitioner - Physical Therapist in Private Practice 5193870947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4811 Hardware Dr NE
BLDG C Suite 4
Albuquerque, NM 87109-2021
Phone (505) 884-4609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3293NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT First LLC CurrentSince Jul 2, 2009 Accepting new patients

Locations

4811 Hardware Dr NE
Ste C-4
Albuquerque, NM 87109
Phone (505) 884-4609

4811 Hardware Dr NE
Ste C-3
Albuquerque, NM 87109
Phone (505) 554-2061

4811C Hardware Dr NE
#3
Albuquerque, NM 87109
Phone (505) 577-8722

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1578650933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811C HARDWARE DR NE",
            "address_2": "STE 3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092019",
            "telephone_number": "505-884-4609",
            "fax_number": "505-884-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 HARDWARE DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092017",
            "telephone_number": "505-884-4609",
            "fax_number": "505-884-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARES",
        "first_name": "FELIPE",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3293",
            "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 Dec 31, 2018; 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.