Delesha Qualls, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5376 Issued in NM

Practice address

400 N Pennsylvania Ave
Roswell, NM 88201-4754

Phone

(575) 623-9101

NPI assigned

Mar 2, 2021

Last updated

Mar 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

86.71 of 100Reported as group

Quality

72.9

Promoting interoperability

100

Improvement activities

40

Cost

73.29

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7206/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spine and Orthopedic Center of New Mexico PC

  • Orthopaedic Surgery Physician
  • Roswell, NM
  • NPI 1972941474
  Medicare reassignment NPD

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1689269771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 HOLLY LOOP",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882018368",
            "telephone_number": "281-840-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PENNSYLVANIA AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014754",
            "telephone_number": "575-623-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUALLS",
        "first_name": "DELESHA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT5376",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1278361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Puckett, LISW
• Kaitlyn Pults, LM, CPM
• Purple Cow Case Management LLC
• Roslyn Kate Pursley, LPCC
• Ryann H Putman, N.P.
• Kathryn Joy Quiett
• Evaristo Quiroz
• Krista Quiroz
• Robert A Rader, MD
• Daniel E Raes, MD

• Physical Therapist in Roswell, NM
• Providers in Roswell, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.