Individual provider Active NPI

Alexis Zamora, PTA

  • Physical Therapy Assistant
  • Ruidoso, NM
National Provider Identifier
1710881743
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PT-2026-0291 Issued in NM
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.