Angie Kiger-Legrand, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A-0555 Issued in NM

Practice address

803 Hacienda LN
Bloomfield, NM 87413-5109

Phone

(505) 632-1823

NPI assigned

Aug 12, 2010

Last updated

Aug 12, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1669787776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N 7TH ST",
            "city": "BLOOMFIELD",
            "state": "NM",
            "postal_code": "874135519",
            "telephone_number": "505-947-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 HACIENDA LN",
            "city": "BLOOMFIELD",
            "state": "NM",
            "postal_code": "874135109",
            "telephone_number": "505-632-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIGER-LEGRAND",
        "first_name": "ANGIE",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "A-0555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Assistant in Bloomfield, NM
• Providers in Bloomfield, NM by specialty
• Physical Therapy Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.