Active NPI
Los Ninos Therapy Center
- Physical Therapist
- Los Lunas, NM
National Provider Identifier
1881601375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- LOS NINOS THERAPY CENTER
- Practice address
- 336 Luna Avenue
Los Lunas, NM 87031 - Phone
- (505) 865-7955
- Fax
- (505) 866-7191
- NPI assigned
- Aug 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Toni Ann A. Martinez, PHYSICAL THERAPIST
- Title
- PT/Administrator
- Phone
- (505) 865-7955
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
336 Luna Avenue
Los Lunas, NM 87031
Mailing address
PO Box 1436
Los Lunas, NM 87031-1436
Phone (505) 865-7955
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0641 | Medicaid | NM | |
| 695951 | Other | NM | UNITED HEALTHCARE |
| NN00N637 | Other | NM | BLUE CROSS BLUE SHIELD |
| QMYPR0072204 | Other | NM | MOLINA HEALTHCARE OF NM |
| K2312 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
336 Luna Ave SE
Los Lunas, NM 87031
Phone (505) 865-7955
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Los Lunas, NM
- NPI 1730346990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1881601375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1436",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870311436",
"telephone_number": "505-865-7955",
"fax_number": "505-866-7191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 LUNA AVENUE",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "87031",
"telephone_number": "505-865-7955",
"fax_number": "505-866-7191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOS NINOS THERAPY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "TONI ANN",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PT/ADMINISTRATOR",
"authorized_official_telephone_number": "505-865-7955",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PHYSICAL THERAPIST"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D0641",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "695951",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "NN00N637",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTHCARE OF NM",
"identifier": "QMYPR0072204",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "K2312",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Lunas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.