Organization Active NPI

Paradigm Physical Therapy and Wellness

  • Physical Therapist
  • Albuquerque, NM
National Provider Identifier
1679090633
Registry record updated Aug 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0145 Issued in NM
Legal business name
PARADIGM PHYSICAL THERAPY AND WELLNESS
Practice address
3900 Las Estancias CT SW Ste 102
Albuquerque, NM 87121-5513
Phone
(505) 866-0055
Fax
(505) 866-0057
NPI assigned
Aug 29, 2017
Last updated
Aug 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2017

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

Authorized official

Name
Mr. Donald SanchezNPI 1417971508
Title
President/Owner/PT
Phone
(505) 866-0055

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 Therapist 225100000X 0145 NM Primary

Addresses

Primary practice location

3900 Las Estancias CT SW Ste 102
Albuquerque, NM 87121-5513

Mailing address

535 Hwy 314 SW
Los Lunas, NM 87031-9600
Phone (505) 866-0055

National Provider Directory

National Provider Directory
Tax ID family
Christopher M Jobeck Ms4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503964800000",
    "number": "1679090633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 HWY 314 SW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870319600",
            "telephone_number": "505-866-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 LAS ESTANCIAS CT SW STE 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871215513",
            "telephone_number": "505-866-0055",
            "fax_number": "505-866-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2017-08-29",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/PT",
        "authorized_official_telephone_number": "505-866-0055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "0145",
            "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 29, 2017; 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.