Individual provider Active NPI

Claire B Shores, PT

  • Physical Therapist
  • Los Lunas, NM
National Provider Identifier
1659772192
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4490 Issued in NM
Practice address
535 Highway 314 SW
Los Lunas, NM 87031-9600
Phone
(505) 866-0055
Fax
(505) 866-0057
NPI assigned
Sep 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4490 NM Primary

Addresses

Primary practice location

535 Highway 314 SW
Los Lunas, NM 87031-9600

Mailing address

535 Highway 314 SW
Los Lunas, NM 87031-9600
Phone (505) 866-0055

Other practice location 1

6745 Academy Rd NE Ste A
Albuquerque, NM 87109-3373
Phone (505) 933-7865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141028002359 NM Practitioner - Physical Therapist in Private Practice 6709007172 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balanced Physical Therapy and Wellness LLCGroup PAC ID 9032427513, 50 clinicians

Practice addresses (Care Compare)

6745 Academy Rd NE
Suite a
Albuquerque, NM 87109-3373
Phone (505) 933-7865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4490NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Physical Therapy and Wellness, LLC Physical Therapist CurrentSince Nov 11, 2024 Accepting new patients
Paradigm Physical Therapy and Wellness Inc Physical Therapist CurrentSince Oct 6, 2014 Accepting new patients
Scoliosis Abq LLC Physical Therapist CurrentSince Aug 3, 2020 Accepting new patients
Paradigm Physical Therapy and Wellness Inc Physical Therapist PastSince Oct 6, 2014 Accepting new patients

Locations

7849 Tramway Blvd NE
Ste A
Albuquerque, NM 87122
Phone (505) 821-3831

6745 Academy Rd NE
Ste A
Albuquerque, NM 87109
Phone (505) 301-8434

1220 Camino del Llano
Belen, NM 87002
Phone (505) 861-1200

535 Highway 314 SW
Los Lunas, NM 87031
Phone (505) 861-1200

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1659772192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 HIGHWAY 314 SW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870319600",
            "telephone_number": "505-866-0055",
            "fax_number": "505-866-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 HIGHWAY 314 SW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870319600",
            "telephone_number": "505-866-0055",
            "fax_number": "505-866-0057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6745 Academy Rd NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871093373",
            "country_code": "US",
            "telephone_number": "505-933-7865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORES",
        "first_name": "CLAIRE",
        "middle_name": "B",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Lunas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.