Individual provider Active NPI

Daniel Craig Ansbach, PHYSICAL THERAPIST

  • Physical Therapist
  • Las Cruces, NM
National Provider Identifier
1871425041
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-2026-0133 Issued in NM
Practice address
4400 N Sonoma Ranch Blvd Ste B
Las Cruces, NM 88011-7343
Phone
(575) 222-0188
Fax
(575) 652-4142
NPI assigned
Jun 2, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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 PT-2026-0133 NM Primary

Addresses

Primary practice location

4400 N Sonoma Ranch Blvd Ste B
Las Cruces, NM 88011-7343

Mailing address

2746 Cheyenne Dr
Las Cruces, NM 88011-9096
Phone (575) 222-0188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260610000953 NM Practitioner - Physical Therapist in Private Practice 5698246635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of New Mexico School of Medicine, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back in Action Therapy of Las CrucesGroup PAC ID 3577984095, 10 clinicians

Practice addresses (Care Compare)

4400 N Sonoma Ranch Blvd
Suite B
Las Cruces, NM 88011-7343
Phone (575) 222-0188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-2026-0133NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Action Therapy of Las Cruces Physical Therapist CurrentSince Jun 2, 2026 Accepting new patients

Locations

4400 N Sonoma Ranch Blvd
Ste B
Las Cruces, NM 88011
Phone (575) 222-0188

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": "1780358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1871425041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2746 CHEYENNE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880119096",
            "telephone_number": "575-222-0188",
            "fax_number": "575-652-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N SONOMA RANCH BLVD STE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117343",
            "telephone_number": "575-222-0188",
            "fax_number": "575-652-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSBACH",
        "first_name": "DANIEL",
        "middle_name": "CRAIG",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT-2026-0133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.