Active NPI
Barbara Ann Rael, PHYSCIAL THERAPIST
- Physical Therapist
- Los Lunas, NM
National Provider Identifier
1669089371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2850
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144877218 | Medicaid | NM | |
| 1669089371 | Medicaid | NM |
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.