Organization Active NPI

Los Ninos Therapy Center

  • Physical Therapist
  • Los Lunas, NM
National Provider Identifier
1881601375
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
D0641MedicaidNM
695951OtherNMUNITED HEALTHCARE
NN00N637OtherNMBLUE CROSS BLUE SHIELD
QMYPR0072204OtherNMMOLINA HEALTHCARE OF NM
K2312MedicaidNM

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.