Ryan Hotchkiss, PT
Individual provider Active NPI Physical Therapist · Edgewood, NM
NPI 1669967048 · NPPES record last updated Jun 27, 2018
Key facts
- NPI
- 1669967048
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT5287 (NM)
- Practice address
- 1 Linnie CT
Edgewood, NM 87015-9125 - Phone
- (505) 286-7838
- Fax
- (505) 286-7838
- NPI assigned
- Jun 27, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Solutions Therapy Services, Inc | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5287 | NM | Yes |
Addresses
Primary practice location
1 Linnie CT
Edgewood, NM 87015-9125
Mailing address
PO Box 896
Edgewood, NM 87015-0896
Phone (505) 286-7838
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 342006366 | Medicaid | NM |
Other providers in Edgewood, NM
- Rachel Harrison
- Samantha Hatfield
- Haven of Peace Enterprise
- Heart Mind Center, LLC
- Christina Marie Hentz
- House Calls to You
- Tracey Hughes
- Yourah Hwang
- Brian R Ingram
- Dennis W. Jackson
All providers in Edgewood, NM · Physical Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.