Active NPI
Shirlee Sue Seaton, P.T.
- Physical Therapist
- Portales, NM
National Provider Identifier
1750498002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1377
- Practice address
- 1429 S Avenue D
Portales, NM 88130-6837 - Phone
- (505) 356-4888
- Fax
- (505) 359-3108
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 1377 | NM | Primary |
Addresses
Primary practice location
1429 S Avenue D
Portales, NM 88130-6837
Mailing address
1612 S Main Ave
Portales, NM 88130-7331
Phone (505) 356-1631
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PROVP16520 | Other | NM | MOLINA ID |
| 2387 | Other | NM | LOVELACE ID |
| 006 | Other | NM | HCH ID |
| NM00Q005 | Other | NM | BLUE CROSS ID |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Special Needs Consulting LLC | Current | Accepting new patients | |
| Therapy Services Associates, Professional Corp | Past | Accepting new patients |
Locations
227 N Main St
Roswell, NM 88201
Phone (575) 420-9380
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Roswell, NM
- NPI 1316291792
-
- Physical Therapy Clinic/Center
- Hobbs, NM
- NPI 1396851952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378339200000",
"number": "1750498002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 S MAIN AVE",
"city": "PORTALES",
"state": "NM",
"postal_code": "881307331",
"telephone_number": "505-356-1631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1429 S AVENUE D",
"city": "PORTALES",
"state": "NM",
"postal_code": "881306837",
"telephone_number": "505-356-4888",
"fax_number": "505-359-3108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEATON",
"first_name": "SHIRLEE",
"middle_name": "SUE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2013-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "1377",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA ID",
"identifier": "PROVP16520",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE ID",
"identifier": "2387",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCH ID",
"identifier": "006",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ID",
"identifier": "NM00Q005",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portales, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.