NPIMap

Individual provider Active NPI

Raeisa Grine, DPT

  • Physical Therapist
  • Alamogordo, NM
National Provider Identifier
1619789112
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-2023-2343 Issued in NM
Practice address
1011 10TH St
Suite a
Alamogordo, NM 88310
Phone
(575) 439-9878
NPI assigned
Jan 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-2023-2343 NM Primary
Physical Therapist 225100000X CO

Addresses

Primary practice location

1011 10TH St
Suite a
Alamogordo, NM 88310

Mailing address

1011 10TH St
Suite a
Alamogordo, NM 88310
Phone (575) 439-9878

Other practice location 1

11211 Dransfeldt Rd Ste 122
Parker, CO 80134-9388
Phone (720) 639-7920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250205000487 NM Practitioner - Physical Therapist in Private Practice 7315477437 Reassigns benefits to 1 organization
I20260518001063 CO Practitioner - Physical Therapist in Private Practice 7315477437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back in Action TherapyGroup PAC ID 4486622628, 7 clinicians
Orthopedic Centers of Colorado LLCGroup PAC ID 2365714540, 327 clinicians

Practice addresses (Care Compare)

1011 A 10TH St
Alamogordo, NM 88310-6425
Phone (575) 439-9878

11960 Lioness Way
Suite 260
Parker, CO 80134-5640
Phone (303) 344-9090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Action Therapy LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Back in Action Therapy of Las Cruces Physical Therapist PastSince May 1, 2020 Accepting new patients

Locations

1011 10th St
#A
Alamogordo, NM 88310
Phone (505) 439-9878

1011A 10th St
Alamogordo, NM 88310
Phone (505) 439-9878

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1619789112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 10TH ST",
            "address_2": "SUITE A",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "88310",
            "telephone_number": "575-439-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 10TH ST",
            "address_2": "SUITE A",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "88310",
            "telephone_number": "575-439-9878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11211 Dransfeldt Rd Ste 122",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801349388",
            "country_code": "US",
            "telephone_number": "720-639-7920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRINE",
        "first_name": "RAEISA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT-2023-2343",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.