Sidney Gallardo

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A186 Issued in NM

Practice address

1011A 10TH St
Alamogordo, NM 88310-6425

Phone

(575) 439-9878

Fax

(575) 439-9876

NPI assigned

Dec 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Back in Action Therapy LLC

  • Physical Therapist
  • Alamogordo, NM
  • NPI 1043386188
  NPD (past)

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1730554148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011A 10TH STREET",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883104011",
            "telephone_number": "575-439-9878",
            "fax_number": "575-439-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011A 10TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106425",
            "telephone_number": "575-439-9878",
            "fax_number": "575-439-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLARDO",
        "first_name": "SIDNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "A186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis H Fuentes, CSW
• Oscar Fuentesdiaz Jr.
• Patrick Fuller
• Lori Furr
• Michael Tyler Gagnon, RBT
• DJ Gallegos, LISW
• Emilia Gallegos
• Marcus Gallegos
• Marissa Gallegos
• Gallien Inc

• Physical Therapy Assistant in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Physical Therapy Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.