NPIMap

Organization Active NPI

E6 Physical Therapy

  • Physical Therapist
  • Albuquerque, NM
National Provider Identifier
1699859868
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2523 Issued in NM
Legal business name
E6 PHYSICAL THERAPY
Practice address
3870 Masthead St NE
Albuquerque, NM 87109-4479
Phone
(505) 830-3678
Fax
(505) 830-6505
NPI assigned
Oct 24, 2006
Last updated
May 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Authorized official

Name
Mr. Ted J Esparza, PTNPI 1104907591
Title
Owner
Phone
(505) 830-3678

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2523 NM Primary
Sports Physical Therapist 2251S0007X 2523 NM
Orthopedic Physical Therapist 2251X0800X 2523 NM

Addresses

Primary practice location

3870 Masthead St NE
Albuquerque, NM 87109-4479

Mailing address

3870 Masthead St NE
Albuquerque, NM 87109-4479
Phone (505) 830-3678

Other identifiers 1

IdentifierTypeStateIssuer
38706539MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070417000098 NM Part B Supplier - Clinic/Group Practice 8123123379 Receives reassigned benefits from 5 practitioners
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

3870 Masthead St NE
Albuquerque, NM 87109
Phone (505) 830-3678

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1699859868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3870 MASTHEAD ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094479",
            "telephone_number": "505-830-3678",
            "fax_number": "505-830-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 MASTHEAD ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094479",
            "telephone_number": "505-830-3678",
            "fax_number": "505-830-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E6 PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "ESPARZA",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-830-3678",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2523",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NM",
            "license": "2523",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NM",
            "license": "2523",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38706539",
            "state": "NM"
        }
    ],
    "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 May 4, 2018; 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.

Verify at the official NPI Registry.