Individual provider Active NPI

Jacque Kay Milligan Rowland, P.T.

  • Physical Therapist
  • Bernalillo, NM
National Provider Identifier
1730246372
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
202 Issued in NM
Practice address
301 Calle del Escuela
Bernalillo, NM 87004-6096
Phone
(505) 867-3366
Fax
(505) 867-7851
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 202 NM Primary

Addresses

Primary practice location

301 Calle del Escuela
Bernalillo, NM 87004-6096

Mailing address

10800 Holly Ave NE
Albuquerque, NM 87122-3114
Phone (505) 344-2238

Other identifiers 1

IdentifierTypeStateIssuer
K0118MedicaidNM

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

LicenseStateTypeSpecialty
202NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Consultants P.C. Physical Therapist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730246372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 HOLLY AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223114",
            "telephone_number": "505-344-2238",
            "fax_number": "505-345-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CALLE DEL ESCUELA",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870046096",
            "telephone_number": "505-867-3366",
            "fax_number": "505-867-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIGAN ROWLAND",
        "first_name": "JACQUE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K0118",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bernalillo, 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.

Verify at the official NPI Registry.