David Michael Udero Jr., PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA1667 Issued in NM

Practice address

1090 Med Park Dr
Las Cruces, NM 88005-3236

Phone

(575) 523-7243

NPI assigned

Jan 31, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Direct Therapy Services, LLP

  • Specialist
  • Las Cruces, NM
  • NPI 1386753010
  NPD

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1710790795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 W T RYAN LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850415222",
            "telephone_number": "575-649-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 MED PARK DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053236",
            "telephone_number": "575-523-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDERO",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "PTA1667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Sullivan Turney
• Katharine Ann Turpen, LMSW
• Jacqueline Tuton
• Raymond Milton Tyler, LVN
• Maximino Tzontlimatzi Jr., CASE MANAGER
• Regina Godwin Udo, FNP-C MSN EDS
• Tera Nicole Uhl, LPCC
• Chibuzo Onyeze Ukaegbu, MD, MPH
• Roberta Ulibarri-Valdez, CPSW
• Patricia Ulloa, CPSW

• Physical Therapy Assistant in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Physical Therapy Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.