Industrial Rehabilitation Clinic, PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

INDUSTRIAL REHABILITATION CLINIC, PC

Practice address

5110 San Francisco Rd NE
Albuquerque, NM 87109-4640

Phone

(505) 797-7691

NPI assigned

Sep 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anthony P Reeve, M.D.NPI 1346354511

Title

Medical Director

Phone

(505) 797-7691

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Industrial Rehabilitation Clinics, PC

  dba IRC Roswell

  • Physical Medicine & Rehabilitation Physician
  • Roswell, NM
  • NPI 1073605549

  O20070117000145

  Same enrollment

Tax ID family

Industrial Rehab Clinics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Industrial Rehabilitation Clinic, PC

  dba I.R.C.- Santa Fe

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Santa Fe, NM
  • NPI 1962529974
  NPD tax ID

Practitioners 3

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.

• Anthony Pino Reeve, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Albuquerque, NM
  • NPI 1346354511
  Medicare reassignment NPD Authorized official
• Karen Marie Balkman, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Roswell, NM
  • NPI 1255445482
  NPD (past)
• Jill Elaine Pacheco, L.P.T.

  • Physical Therapist
  • Albuquerque, NM
  • NPI 1750434478
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598866808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91270",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871991270",
            "telephone_number": "505-797-7691",
            "fax_number": "505-797-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 SAN FRANCISCO RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094640",
            "telephone_number": "505-797-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDUSTRIAL REHABILITATION CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REEVE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "505-797-7691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Medicine & Rehabilitation Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.