Innovations Healthcare Rehabilitation, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3112 Issued in NM

Legal business name

INNOVATIONS HEALTHCARE REHABILITATION, LLC

Practice address

755 S Telshor Blvd
A201
Las Cruces, NM 88011-4688

Phone

(575) 556-9568

Fax

(575) 556-9569

NPI assigned

May 20, 2008

Last updated

May 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bernardo Cornejo, PT

Title

Owner

Phone

(575) 556-9568

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1780841585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5971 CORN HUSK LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799322303",
            "telephone_number": "575-556-9568",
            "fax_number": "575-556-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 S TELSHOR BLVD",
            "address_2": "A201",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114688",
            "telephone_number": "575-556-9568",
            "fax_number": "575-556-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIONS HEALTHCARE REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "CORNEJO",
        "authorized_official_first_name": "BERNARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-556-9568",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Las Cruces, NM
• Providers in Las Cruces, 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 8, 2012; 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.