Individual provider Active NPI

Isaac Pedro Iniguez, DPT

  • Physical Therapist
  • Silver City, NM
National Provider Identifier
1669220158
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-2024-0137 Issued in NM
Practice address
1310 N Pope St
Silver City, NM 88061-5142
Phone
(575) 388-0430
NPI assigned
May 9, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT-2024-0137 NM Primary

Addresses

Primary practice location

1310 N Pope St
Silver City, NM 88061-5142

Mailing address

1310 N Pope St
Silver City, NM 88061-5142
Phone (575) 388-0430

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240529001108 NM Practitioner - Physical Therapist in Private Practice 5193167716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iniguez Physical TherapyGroup PAC ID 7810324324, 2 clinicians

Practice addresses (Care Compare)

1310 N Pope St
Silver City, NM 88061-5142
Phone (575) 388-0430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-2024-0137NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Iniguez Physical Therapy Single Specialty CurrentSince May 10, 2024 Accepting new patients

Locations

609 Central Ave
Bayard, NM 88023
Phone (505) 537-1000

1310 N Pope St
Silver City, NM 88061
Phone (505) 388-0430

Organizations & group practices 1

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": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1669220158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 N POPE ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615142",
            "telephone_number": "575-388-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N POPE ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615142",
            "telephone_number": "575-388-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INIGUEZ",
        "first_name": "ISAAC",
        "middle_name": "PEDRO",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT-2024-0137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.