Paul Kevin Galindo Villanueva – Physical Therapist

Key facts

NPI: 1760180145
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: PT6213 (NM)
Practice address: 4206 US 64 Ste 1
Kirtland, NM 87417-9431
Phone: (505) 258-4175
NPI assigned: Feb 16, 2023
Sex: Male
Sole proprietor: No

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.

Apexnetwork New Mexico, LLC Physical Therapist · Gallup, NM · NPI 1871917740

Medicare reassignment Care Compare group NPD NM · PHYSICAL THERAPIST

Medicare Care Compare profile

Specialty: Physical Therapist in Private Practice
Education: Other, 2016
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Apexnetwork New Mexico LLC (3 clinicians)

Practice addresses (Care Compare)

4206 Hwy 64
Unit A1
Kirtland, NM 87417-9416
Phone (505) 258-4175

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NM

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20230313001355	NM	Practitioner - Physical Therapist in Private Practice	4486028503	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
PT6213	NM	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Apexnetwork New Mexico, LLC	Physical Therapist	Current since Feb 27, 2023	Accepting new patients

Locations

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

140 E Highway 550
Ste E3
Bernalillo, NM 87004
Phone (505) 404-8652

510 W Maloney Ave
Ste C
Gallup, NM 87301
Phone (505) 488-2615

4206 Highway 64
Unit A1
Kirtland, NM 87417
Phone (505) 258-4175

4206 US 64
Ste 1
Kirtland, NM 87417
Phone (505) 258-4175

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	PT6213	NM	Yes

Addresses

Primary practice location

4206 US 64 Ste 1
Kirtland, NM 87417-9431

Mailing address

31083 Brae Burn Ave
Hayward, CA 94544-7619
Phone (510) 634-5512

Other providers in Kirtland, NM

All providers in Kirtland, NM · Physical Therapist in New Mexico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.