Organization Active NPI

Therapy One Inc

  • Physical Therapist
  • Farmington, NM
National Provider Identifier
1770596116
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2823 Issued in NM
Legal business name
THERAPY ONE INC
Practice address
2400 Farmington Ave
Farmington, NM 87401-4509
Phone
(505) 326-0064
Fax
(505) 327-3995
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Mr. Greg David McManus, MSPTNPI 1043252836
Title
Physical Therapist Owner
Phone
(505) 326-0064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 2823 NM Primary

Addresses

Primary practice location

2400 Farmington Ave
Farmington, NM 87401-4509

Mailing address

2400 Farmington Ave
Farmington, NM 87401-4509
Phone (505) 326-0064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071002000790 NM Part B Supplier - Clinic/Group Practice 8729173968 Receives reassigned benefits from 3 practitioners
Practice locations: Farmington, NM

National Provider Directory

National Provider Directory

Locations

2400 Farmington Ave
Farmington, NM 87401
Phone (505) 326-0064

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1770596116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874014509",
            "telephone_number": "505-326-0064",
            "fax_number": "505-327-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874014509",
            "telephone_number": "505-326-0064",
            "fax_number": "505-327-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY ONE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "MCMANUS",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST  OWNER",
        "authorized_official_telephone_number": "505-326-0064",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.