NPIMap

Organization Active NPI

Peak Motion Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1669639043
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2401 Issued in NM
Legal business name
PEAK MOTION PHYSICAL THERAPY, INC.
Practice address
7424 Holly Ave. NE
Albuquerque, NM 87113
Phone
(505) 797-5505
Fax
(505) 797-5510
NPI assigned
May 22, 2008
Last updated
Aug 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Philip Martin Baca, P.T.NPI 1801863410
Title
Owner/Physical Therapist
Phone
(505) 797-5505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2401 NM Primary

Addresses

Primary practice location

7424 Holly Ave. NE
Albuquerque, NM 87113

Mailing address

8100 Wyoming Blvd NE Ste M4
261
Albuquerque, NM 87113-1963
Phone (505) 797-5505

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080730000572 NM Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0648344234 Receives reassigned benefits from 9 practitioners
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

7424 Holly Ave NE
Albuquerque, NM 87113
Phone (505) 797-5505

7920 Carmel Ave NE
Ste 2
Albuquerque, NM 87122
Phone (505) 797-5505

8100 Wyoming Blvd NE
Ste 261
Albuquerque, NM 87113

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1669639043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 WYOMING BLVD NE STE M4",
            "address_2": "261",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131963",
            "telephone_number": "505-797-5505",
            "fax_number": "505-797-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 HOLLY AVE. NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87113",
            "telephone_number": "505-797-5505",
            "fax_number": "505-797-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK MOTION PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "BACA",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "505-797-5505",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NM",
            "license": "2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.