Active NPI
Kerry G Hughes, PT
- Physical Therapist
- Clovis, NM
National Provider Identifier
1689239303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5381
- Practice address
- 100 E Manana Blvd Ste 1
Clovis, NM 88101-3503 - Phone
- (575) 366-5014
- NPI assigned
- May 8, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5381 | NM | Primary |
Addresses
Primary practice location
100 E Manana Blvd Ste 1
Clovis, NM 88101-3503
Mailing address
100 E Manana Blvd Ste 1
Clovis, NM 88101-3503
Phone (575) 366-5014
Other names 1
- Kerry Elizabeth Gilsenan
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 |
|---|---|---|---|
| PT5381 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Therapies Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Clovis, NM
- NPI 1952793648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557273600000",
"number": "1689239303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E MANANA BLVD STE 1",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881013503",
"telephone_number": "575-366-5014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E MANANA BLVD STE 1",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881013503",
"telephone_number": "575-366-5014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "KERRY",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-08",
"last_updated": "2019-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "PT5381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KERRY",
"last_name": "GILSENAN",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.