Rachael E Haverporth, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4296 Issued in NM

Practice address

1011 10TH St
A
Alamogordo, NM 88310-6425

Phone

(575) 439-9878

Fax

(575) 439-9876

NPI assigned

Jun 9, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back in Action TherapyGroup PAC ID 4486622628, 7 clinicians

Southwest Sport and Spine Center IncGroup PAC ID 5496656563, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Back in Action Therapy LLC

  • Physical Therapist
  • Alamogordo, NM
  • NPI 1043386188
  Medicare reassignment Care Compare group NPD
• Southwest Sport and Spine Center Inc

  • Physical Therapist
  • Las Cruces, NM
  • NPI 1164475208
  Medicare reassignment Care Compare group NPD
• Real View Diagnostics LLC

  • Physical Therapist
  • Canutillo, TX
  • NPI 1336882026
  NPD (past)

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

{
    "created_epoch": "1370736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370736000000",
    "number": "1669810990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 CHERRY HILLS DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883107740",
            "telephone_number": "575-439-9878",
            "fax_number": "575-439-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 10TH ST",
            "address_2": "A",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106425",
            "telephone_number": "575-439-9878",
            "fax_number": "575-439-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVERPORTH",
        "first_name": "RACHAEL",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-09",
        "last_updated": "2013-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "4296",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devon Harrison
• Don J Harshey
• Delilah Jo Hartmaier, RBT
• Harmony Hartung
• Carrie Miranda Hartwig-Perez, RBT, CPT
• Charles Wayne Hawkins Jr., PHARMD
• Brian Edward Hayes
• Kathryn Hayman
• Abigail Head
• Shyanne Headstream

• Physical Therapist in Alamogordo, NM
• Providers in Alamogordo, 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 Jun 9, 2013; 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.