Individual provider Active NPI

Robbie Vendrely, DPT

  • Physical Therapist
  • Albuquerque, NM
National Provider Identifier
1801403704
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4912 Issued in NM
Practice address
2216 Lester Dr NE
Albuquerque, NM 87112-2607
Phone
(505) 331-2582
NPI assigned
Sep 25, 2020
Last updated
Sep 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4912 NM Primary

Addresses

Primary practice location

2216 Lester Dr NE
Albuquerque, NM 87112-2607

Mailing address

10500 Academy Rd NE
Albuquerque, NM 87111-7306
Phone (505) 331-2582

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221130003081 NM Practitioner - Physical Therapist in Private Practice 5799153482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zia Therapy and Pain Relief IncGroup PAC ID 9133562416, 7 clinicians

Practice addresses (Care Compare)

1520 Deborah Rd SE
Suite K
Rio Rancho, NM 87124-1030
Phone (978) 618-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT4912NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Zia Therapy and Pain Relief Inc CurrentSince Sep 17, 2024 Accepting new patients

Locations

1520 Deborah Rd SE
Ste K
Rio Rancho, NM 87124
Phone (505) 589-8840

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1801403704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 ACADEMY RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871117306",
            "telephone_number": "505-331-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 LESTER DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122607",
            "telephone_number": "505-331-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENDRELY",
        "first_name": "ROBBIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT4912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (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.