Active NPI
Mary Beth Schubauer, P.T.
- Physical Therapist
- Albuquerque, NM
National Provider Identifier
1821120973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1401
- Practice address
- 7905 Marble NE
Albuquerque, NM 87110 - Phone
- (505) 232-5726
- Fax
- (505) 232-5724
- NPI assigned
- Mar 12, 2007
- Last updated
- Jul 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1401 | NM | Primary |
Addresses
Primary practice location
7905 Marble NE
Albuquerque, NM 87110
Mailing address
837 Fairway Rd. NW
Albuquerque, NM 87107
Phone (505) 238-2247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A 4878 | Medicaid | NM |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1401 | NM | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530576000000",
"number": "1821120973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "837 FAIRWAY RD. NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87107",
"telephone_number": "505-238-2247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7905 MARBLE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87110",
"telephone_number": "505-232-5726",
"fax_number": "505-232-5724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUBAUER",
"first_name": "MARY BETH",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2018-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "1401",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A 4878",
"state": "NM"
}
],
"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 Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.