Individual provider Active NPI

Bridget A. Scholljegerdes, P.T.

  • Physical Therapist
  • Las Cruces, NM
National Provider Identifier
1871562785
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1373 Issued in ND
Practice address
2404 S. Locust Street
Suite 5
Las Cruces, NM 88001-0000
Phone
(575) 521-4296
Fax
(575) 521-4494
NPI assigned
Mar 14, 2006
Last updated
Dec 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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 1373 ND Primary

Addresses

Primary practice location

2404 S. Locust Street
Suite 5
Las Cruces, NM 88001-0000

Mailing address

2404 S. Locust Street
Suite 5
Las Cruces, NM 88001-0000
Phone (575) 521-4296

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101230000606 NM Practitioner - Physical Therapist in Private Practice 4082652490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Sport and Spine Center IncGroup PAC ID 5496656563, 21 clinicians

Practice addresses (Care Compare)

1181 Mall Dr
Suite C
Las Cruces, NM 88011-8105
Phone (575) 522-0766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1373NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Sport and Spine Center Inc Physical Therapist CurrentSince Aug 15, 2010 Accepting new patients
Real View Diagnostics LLC Physical Therapist PastSince Aug 15, 2010 Accepting new patients
Applied Medical, Inc Physical Therapist Past Accepting new patients

Locations

1181 Mall Dr
Las Cruces, NM 88011
Phone (505) 521-1111

1181 Mall Dr
Ste C
Las Cruces, NM 88011
Phone (575) 521-4188

2404 S Locust St
Ste 5
Las Cruces, NM 88001
Phone (505) 521-4188

Organizations & group practices 3

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1871562785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 S. LOCUST STREET",
            "address_2": "SUITE 5",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880010000",
            "telephone_number": "575-521-4296",
            "fax_number": "575-521-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 S. LOCUST STREET",
            "address_2": "SUITE 5",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880010000",
            "telephone_number": "575-521-4296",
            "fax_number": "575-521-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLLJEGERDES",
        "first_name": "BRIDGET",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1373",
            "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 Dec 29, 2010; 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.