NPIMap

Organization Active NPI

Animas Valley Back Cenrter

  • Rehabilitation Practitioner
  • Farmington, NM
National Provider Identifier
1629125372
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
97-111 Issued in NM
Legal business name
ANIMAS VALLEY BACK CENRTER
Practice address
2700 Farmington Ave
BLDG. F.
Farmington, NM 87401-4559
Phone
(505) 325-3381
NPI assigned
Jan 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeff Mosley
Title
Owner
Phone
(505) 402-5020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X 97-111 NM Primary

Addresses

Primary practice location

2700 Farmington Ave
BLDG. F.
Farmington, NM 87401-4559

Mailing address

2700 Farmington Ave
BLDG. F.
Farmington, NM 87401-4559

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629125372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 FARMINGTON AVE",
            "address_2": "BLDG. F.",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874014559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 FARMINGTON AVE",
            "address_2": "BLDG. F.",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874014559",
            "telephone_number": "505-325-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIMAS VALLEY BACK CENRTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-402-5020"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NM",
            "license": "97-111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • 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.