Active NPI
Lynne D Bombach, PT
- Physical Therapist
- Albuquerque, NM
National Provider Identifier
1730212044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 884
- Practice address
- 3211 Monte Vista Blvd NE
Monte Vista Es
Albuquerque, NM 87106 - Phone
- (505) 268-3520
- NPI assigned
- Mar 14, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | 884 | NM | Primary |
Addresses
Primary practice location
3211 Monte Vista Blvd NE
Monte Vista Es
Albuquerque, NM 87106
Mailing address
3211 Monte Vista Blvd NE
Monte Vista Es
Albuquerque, NM 87106
Phone (505) 268-3520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 884 | NM | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730212044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3211 MONTE VISTA BLVD NE",
"address_2": "MONTE VISTA ES",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87106",
"telephone_number": "505-268-3520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3211 MONTE VISTA BLVD NE",
"address_2": "MONTE VISTA ES",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87106",
"telephone_number": "505-268-3520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOMBACH",
"first_name": "LYNNE",
"middle_name": "D",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "884",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.