Individual provider Active NPI

Barbara Ann Rael, PHYSCIAL THERAPIST

  • Physical Therapist
  • Los Lunas, NM
National Provider Identifier
1669089371
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2850 Issued in NM
Practice address
2210 Sunranch Villageg Loop
Suite a
Los Lunas, NM 87031
Phone
(505) 361-2111
Fax
(505) 407-2111
NPI assigned
Sep 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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 PT2850 NM Primary

Addresses

Primary practice location

2210 Sunranch Villageg Loop
Suite a
Los Lunas, NM 87031

Mailing address

2210 Sunranch Village Loop
Suite a
Los Lunas, NM 87031-7795
Phone (505) 361-2111

Other practice location 1

106 Main St NE Ste A
Los Lunas, NM 87031-7795
Phone (505) 859-9892

Other identifiers 2

IdentifierTypeStateIssuer
1144877218MedicaidNM
1669089371MedicaidNM

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

NPI Registry JSON

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1669089371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 SUNRANCH VILLAGE LOOP",
            "address_2": "SUITE A",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870317795",
            "telephone_number": "505-361-2111",
            "fax_number": "505-407-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 SUNRANCH VILLAGEG LOOP",
            "address_2": "SUITE A",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "87031",
            "telephone_number": "505-361-2111",
            "fax_number": "505-407-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Main St NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Los Lunas",
            "state": "NM",
            "postal_code": "870317795",
            "country_code": "US",
            "telephone_number": "505-859-9892",
            "fax_number": "505-407-4486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAEL",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "credential": "PHYSCIAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-26",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT2850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144877218",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669089371",
            "state": "NM"
        }
    ],
    "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 May 20, 2021; 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.