Tatenda Chibanga, PT, DPT
Individual provider Active NPI Physical Therapist · Los Ranchos, NM
NPI 1639730856 · NPPES record last updated Oct 31, 2024
Key facts
- NPI
- 1639730856
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT5500 (NM)
- Practice address
- 808 Chamisal Rd NW
Los Ranchos, NM 87107-6408 - Phone
- (505) 720-9049
- NPI assigned
- Jun 27, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Think Back Inc | Physical Therapist | Current |
Accepting new patients |
| Think Back Inc | Physical Therapist | Past |
Accepting new patients |
Locations
2516 Vermont St NE
Albuquerque, NM 87110
Phone (505) 883-7518
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5500 | NM | Yes |
Addresses
Primary practice location
808 Chamisal Rd NW
Los Ranchos, NM 87107-6408
Mailing address
1501 San Pedro Dr SE
Albuquerque, NM 87108-5153
Phone (505) 265-1711
Other providers in Los Ranchos, NM
- Catalpa Counseling LLC
- Kathleen Luellen Chabot
- Felicia Chaves
- Annette Chavez
- Cecilia C Chavez
- Christian Counseling and Psychotherapy, LLC
- Patricia A Colahan-Ireta
- Common Ground Community Care
- Curate Health LLC
- Dar a Luz Birth & Health Center
All providers in Los Ranchos, NM · Physical Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.