Turquoise Trail Physical Therapy

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

3125 Issued in NM

Legal business name

TURQUOISE TRAIL PHYSICAL THERAPY

Practice address

4930 McLeod Rd NE
Albuquerque, NM 87109-2118

Phone

(505) 884-2032

Fax

(505) 837-2030

NPI assigned

Jul 26, 2005

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

Michael R Hoerning, PTNPI 1396747069

Title

RPT Director

Phone

(505) 984-2032

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Michael Hoerning, PT

  • Physical Therapist
  • Santa Fe, NM
  • NPI 1396747069
  Authorized official Same address or phone

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629078126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29269",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875929269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 MCLEOD RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092118",
            "telephone_number": "505-884-2032",
            "fax_number": "505-837-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURQUOISE TRAIL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOERNING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "RPT DIRECTOR",
        "authorized_official_telephone_number": "505-984-2032",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NM",
            "license": "3125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80455751",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Turpen
• Craig Alexander Turpin, ED.S
• Turquoise Harbor Family Counseling
• Turquoise Mesa LLC
• Turquoise Skies Therapy
• Turquoise Trail Physical Therapy & Rehabilitation
• Turquoise Trail Primary Care LLC
• Turquoise Wings Counseling, LLC
• Jennifer Turrietta
• Devante Malcolm Tussey

• Rehabilitation Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Rehabilitation Clinic/Center 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.