Active NPI
Margarita Lisa Cordova, LMT 9121
- Massage Therapist
- Albuquerque, NM
National Provider Identifier
1679032171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 9121
- Practice address
- 9204 Menaul Blvd NE
Albuquerque, NM 87112-2256 - Phone
- (505) 883-1212
- NPI assigned
- Mar 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 9121 | NM | Primary |
Addresses
Primary practice location
9204 Menaul Blvd NE
Albuquerque, NM 87112-2256
Mailing address
1417 Lucretia St SW
Albuquerque, NM 87121-7995
Phone (505) 227-6961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9121 | NM | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552521600000",
"number": "1679032171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 LUCRETIA ST SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871217995",
"telephone_number": "505-227-6961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9204 MENAUL BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871122256",
"telephone_number": "505-883-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDOVA",
"first_name": "MARGARITA",
"middle_name": "LISA",
"name_prefix": "Miss",
"credential": "LMT 9121",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-14",
"last_updated": "2019-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NM",
"license": "9121",
"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 Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.