Prestige Rehab NM LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PRESTIGE REHAB NM LLC

Practice address

8206 Louisiana Blvd NE Ste a
Albuquerque, NM 87113-1738

Phone

(855) 678-8887

Fax

(855) 678-8887

NPI assigned

Aug 23, 2024

Organization subpart

No

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

Authorized official

Name

Daniel Reizis, PTNPI 1174835755

Title

Managing Member

Phone

(855) 678-8887

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 7

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

• John L Carnagey, MOT

  • Occupational Therapist
  • Rio Rancho, NM
  • NPI 1003176660
  Medicare reassignment Care Compare group NPD
• Kelli Dunn, M.S., CCC/SLP

  • Speech-Language Pathologist
  • Albuquerque, NM
  • NPI 1942503065
  Medicare reassignment Care Compare group NPD
• Janet Janysek, PT

  • Physical Therapist
  • Albuquerque, NM
  • NPI 1841906039
  Medicare reassignment Care Compare group NPD
• Daniel Reizis, PT

  • Physical Therapist
  • Colts Neck, NJ
  • NPI 1174835755

  NM

  Medicare reassignment NPD Authorized official
• Erik Kerns, OTR/L

  • Occupational Therapist
  • Longmont, CO
  • NPI 1992455182
  Medicare reassignment NPD
• Nicole Simone Underwood

  • Occupational Therapist
  • Federal Way, WA
  • NPI 1922353606

  NM

  Medicare reassignment NPD
• Barbara J Van Valen, OT

  • Occupational Therapist
  • Tempe, AZ
  • NPI 1194845891

  NM

  Medicare reassignment NPD

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1821821836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8206 LOUISIANA BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131738",
            "telephone_number": "855-678-8887",
            "fax_number": "855-678-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8206 LOUISIANA BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131738",
            "telephone_number": "855-678-8887",
            "fax_number": "855-678-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE REHAB NM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "REIZIS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "855-678-8887",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Presbyterian Medical Services
• Melinda Prescott
• Present Solutions
• Hannah Presley White
• Prestige Healthcare Services, Inc
• Angella Ruth Preston
• Lisa Preston
• Dyanna Prestwich, MT
• Leland Corey Pretty Weasel
• Merideth Rising Prevost, MD

• Physical Therapist in Albuquerque, NM
• Providers in Albuquerque, 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 Aug 23, 2024; 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.