Active NPI
Alexis Zamora, PTA
- Physical Therapy Assistant
- Ruidoso, NM
National Provider Identifier
1710881743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PT-2026-0291
- Practice address
- 2801 Sudderth Dr Ste C
Ruidoso, NM 88345-6340 - Phone
- (575) 808-8721
- Fax
- (575) 808-8723
- NPI assigned
- Oct 5, 2026
- Last updated
- Oct 5, 2026
- 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 Therapy Assistant | 225200000X | PT-2026-0291 | NM | Primary |
Addresses
Primary practice location
2801 Sudderth Dr Ste C
Ruidoso, NM 88345-6340
Mailing address
307 10TH St
Carrizozo, NM 88301-8009
Phone (575) 808-8721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1710881743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 10TH ST",
"city": "CARRIZOZO",
"state": "NM",
"postal_code": "883018009",
"telephone_number": "575-808-8721",
"fax_number": "575-808-8723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 SUDDERTH DR STE C",
"city": "RUIDOSO",
"state": "NM",
"postal_code": "883456340",
"telephone_number": "575-808-8721",
"fax_number": "575-808-8723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMORA",
"first_name": "ALEXIS",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-05",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NM",
"license": "PT-2026-0291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ruidoso, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.