Patience Grasshopper Therapeutics

Primary specialty

SpecialistTaxonomy code 174400000X

License

2983 Issued in NM

Legal business name

PATIENCE GRASSHOPPER THERAPEUTICS

Practice address

16306 B Hwy 84
Chama, NM 87520

Phone

(575) 756-8391

NPI assigned

Jul 5, 2011

Last updated

Jul 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amilia Anne Elliott, M.P.T.NPI 1295823938

Title

Owner, Provider

Phone

(575) 756-8391

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Elliott Physical Therapy Former legal business name

Practitioners 1

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.

• Amilia Elliott, DPT

  • Physical Therapist
  • Medford, OR
  • NPI 1295823938
  NPD (past) Authorized official

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1679860175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301",
            "city": "CHAMA",
            "state": "NM",
            "postal_code": "875200301",
            "telephone_number": "575-756-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16306 B HWY 84",
            "city": "CHAMA",
            "state": "NM",
            "postal_code": "87520",
            "telephone_number": "575-756-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENCE GRASSHOPPER THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "AMILIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "575-756-8391",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "2983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67509533",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NMOOQ782",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elliott Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Samantha Lopez-Hinds, RDH
• Margaret Antoinette Martinez, RDH, BS
• Suresh B Neelagaru, M.D.
• North Central Community Based Services, Inc.
• Northwest Regional Education Cooperative #2
• Melissa Dawn Rivera
• Riverbear Counseling LLC
• Patricia Serna, LISW
• Kathleen Lesh Smith, L.M.T., C.N.M.T.
• Tara Terrazas, DPT

• Specialist in Chama, NM
• Providers in Chama, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.