Individual provider Active NPI

Amryn Ayres, PT, DPT

  • Physical Therapist
  • Albuquerque, NM
National Provider Identifier
1629551783
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5432 Issued in NM
Practice address
4400 Lead Ave SE
Albuquerque, NM 87108-2844
Phone
(505) 266-3655
NPI assigned
Sep 13, 2018
Last updated
Jul 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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 PT5432 NM Primary
Physical Therapist 225100000X PTP-PT-LIC-15068 MT

Addresses

Primary practice location

4400 Lead Ave SE
Albuquerque, NM 87108-2844

Mailing address

2720 Central Ave SE Ste G-556
Albuquerque, NM 87106-2862
Phone (406) 471-1608

Other practice location 1

175 Commons Loop Ste 100
Kalispell, MT 59901-1904
Phone (406) 752-7250

Other practice location 2

4824 McMahon Blvd NW Ste 101
Albuquerque, NM 87114-5412
Phone (505) 897-3575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTP-PT-LIC-15068MTMDPhysical Therapist
PT5432NMMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1629551783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 CENTRAL AVE SE STE G-556",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062862",
            "telephone_number": "406-471-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 LEAD AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082844",
            "telephone_number": "505-266-3655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Commons Loop Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599011904",
            "country_code": "US",
            "telephone_number": "406-752-7250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4824 McMahon Blvd NW Ste 101",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871145412",
            "country_code": "US",
            "telephone_number": "505-897-3575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYRES",
        "first_name": "AMRYN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT5432",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-15068",
            "primary": false
        }
    ],
    "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 Jul 24, 2019; 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.