Teresa L Redman, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1425 Issued in NM

Practice address

3611 NM 528 NW Ste 101
Albuquerque, NM 87114-8920

Phone

(505) 217-2826

Fax

(505) 234-7431

NPI assigned

Jan 11, 2007

Last updated

May 12, 2023By the provider in NPPES

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

Other names 1

• Teresa Mico Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1750431656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 NM 528 NW STE 101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871148920",
            "telephone_number": "505-217-2826",
            "fax_number": "505-234-7431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 McMahon Blvd NW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871145090",
            "country_code": "US",
            "telephone_number": "505-727-2123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDMAN",
        "first_name": "TERESA",
        "middle_name": "L",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "1425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "MICO",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Latricia Lynelle Redhair
• Nathaniel West Rediske, M.D.
• Miriam I Redleaf, M.D.
• Patricia A Redlin, CRNA
• Ayla Austin Redman
• Jordan Redmond, LMHC
• Rachel Redmond, RN
• Christopher James Redner
• Marie Elizabeth Redner, LMT
• Redpoint Counseling

• Physical Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.