Active NPI
Iniguez Physical Therapy
- Physical Therapist
- Silver City, NM
National Provider Identifier
1689635625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1919
- Legal business name
- INIGUEZ PHYSICAL THERAPY
- Practice address
- 1310 N Pope St
Silver City, NM 88061 - Phone
- (505) 388-0430
- Fax
- (505) 388-0460
- NPI assigned
- Mar 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pedro Iniguez, MSPT
- Title
- Owner
- Phone
- (575) 388-0430
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1919 | NM | Primary |
Addresses
Primary practice location
1310 N Pope St
Silver City, NM 88061
Mailing address
1310 N Pope St
Silver City, NM 88061
Phone (505) 388-0430
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53106750 | Medicaid | NM | |
| 0000L2945 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
609 Central Ave
Bayard, NM 88023
Phone (505) 537-1000
1310 N Pope St
Silver City, NM 88061
Phone (505) 388-0430
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Silver City, NM
- NPI 1255392940
-
- Physical Therapist
- Silver City, NM
- NPI 1710130414
-
- Physical Therapist
- Lordsburg, NM
- NPI 1003860628
-
- Physical Therapist
- Ruidoso, NM
- NPI 1902868003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578268800000",
"number": "1689635625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 N POPE ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "88061",
"telephone_number": "505-388-0430",
"fax_number": "505-388-0460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 N POPE ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "88061",
"telephone_number": "505-388-0430",
"fax_number": "505-388-0460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INIGUEZ PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-29",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A",
"authorized_official_last_name": "INIGUEZ",
"authorized_official_first_name": "PEDRO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "575-388-0430",
"authorized_official_credential": "MSPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NM",
"license": "1919",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "53106750",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000L2945",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.