Individual provider Active NPI

Mikaela Galindo

  • Physical Therapy Assistant
  • Los Alamos, NM
National Provider Identifier
1801514039
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA1761 Issued in NM
Practice address
3000 Trinity Dr
Los Alamos, NM 87544-2320
Phone
(505) 667-5061
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X PTA1761 NM Primary

Addresses

Primary practice location

3000 Trinity Dr
Los Alamos, NM 87544-2320

Mailing address

2142 35TH St Apt a
Los Alamos, NM 87544-2490
Phone (505) 426-5527

Other practice location 1

2538 Camino Entrada Ste 300
Santa Fe, NM 87507-4927
Phone (505) 424-1239

Other names 1

  • Miss Mikaela Galindo Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA1761NMMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Solutions, Inc Single Specialty Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1801514039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 35TH ST APT A",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442490",
            "telephone_number": "505-426-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 TRINITY DR",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442320",
            "telephone_number": "505-667-5061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2538 Camino Entrada Ste 300",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875074927",
            "country_code": "US",
            "telephone_number": "505-424-1239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALINDO",
        "first_name": "MIKAELA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "PTA1761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKAELA",
            "last_name": "GALINDO",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Alamos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.