Abeyta Physical Therapy & Sports Medicine Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3107 Issued in NM

Legal business name

ABEYTA PHYSICAL THERAPY & SPORTS MEDICINE INC

Practice address

114 E Motel Dr
Lordsburg, NM 88045

Phone

(505) 313-3438

NPI assigned

May 29, 2006

Last updated

Nov 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ruben Q. Abeyta, DPTNPI 1003860628

Title

Owner/Physical Therapist

Phone

(505) 313-3438

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ruben Quintenar Abeyta Jr., D.P.T.

  • Physical Therapist
  • Lordsburg, NM
  • NPI 1003860628
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1669429189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 ARENAS VALLEY RD",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "88061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E MOTEL DR",
            "city": "LORDSBURG",
            "state": "NM",
            "postal_code": "88045",
            "telephone_number": "505-313-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABEYTA PHYSICAL THERAPY & SPORTS MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "ABEYTA",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_middle_name": "Q.",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "505-313-3438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88775763",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruben Quintenar Abeyta Jr., D.P.T.
• Elsa Felecia Abrams, DDS
• Sabrina Knicole Aguilera
• Vicki Fuller Allen, LISW
• At Park City

• Physical Therapist in Lordsburg, NM
• Providers in Lordsburg, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.