Individual provider Active NPI

Alicia B Esparza, PT

  • Physical Therapist
  • Taos, NM
National Provider Identifier
1720181506
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3548 Issued in NM
Practice address
414 Sipapu St
Taos, NM 87571-6498
Phone
(575) 758-8761
Fax
(575) 758-8761
NPI assigned
Sep 6, 2006
Last updated
Jun 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3548 NM Primary

Addresses

Primary practice location

414 Sipapu St
Taos, NM 87571-6498

Mailing address

6955 Ndcbu
Taos, NM 87571-6242
Phone (575) 758-8761

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080822000421 NM Practitioner - Physical Therapist in Private Practice 3577638766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taos Physical Therapy, Inc.Group PAC ID 9335167089, 3 clinicians

Practice addresses (Care Compare)

414 Sipapu St
Taos, NM 87571-6498
Phone (505) 758-8761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3548NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Taos Physical Therapy, Inc. Physical Therapist CurrentSince Aug 18, 2008 Accepting new patients

Locations

414 Sipapu St
Taos, NM 87571
Phone (505) 758-8761

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1720181506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6955 NDCBU",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716242",
            "telephone_number": "575-758-8761",
            "fax_number": "575-758-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 SIPAPU ST",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716498",
            "telephone_number": "575-758-8761",
            "fax_number": "575-758-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPARZA",
        "first_name": "ALICIA",
        "middle_name": "B",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.