Empower Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EMPOWER PHYSICAL THERAPY, LLC

Practice address

1973 Cumbres Patio St
Los Alamos, NM 87544-2734

Phone

(361) 549-7678

NPI assigned

May 31, 2022

Organization subpart

No

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

Authorized official

Name

Kelli MaginotNPI 1053870188

Title

Physical Therapist/Owner

Phone

(361) 549-7678

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelli Maginot

  • Physical Therapist
  • Los Alamos, NM
  • NPI 1053870188
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1629717459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1973 CUMBRES PATIO ST",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442734",
            "telephone_number": "361-549-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 CUMBRES PATIO ST",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442734",
            "telephone_number": "361-549-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "MAGINOT",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "361-549-7678"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DRS Lahiri and Mesibov, LLC
• Chelsie Marie Dyson, LPCC
• Educate Empowerment LLC
• Susan Edwards, DNP
• Marianne Alice Elden, LMHC
• Carolyn Erickson, LPC C
• Lori Erickson, MPT
• Essential Self Counseling, P.a. (Tom Steward, P.A.)
• Julianna Katherine Lange Evans, LMHC
• Steven E Evans, M.D.

• Physical Therapist in Los Alamos, NM
• Providers in Los Alamos, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.