Active NPI
Marina I Menchaca, PT
- Physical Therapist
- Anthony, NM
National Provider Identifier
1891070918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4463
- Practice address
- PO Drawer 70
Anthony, NM 88021-0070 - Phone
- (575) 618-7473
- NPI assigned
- Oct 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4463 | NM | Primary |
| Physical Therapist | 225100000X | 1175062 | TX |
Addresses
Primary practice location
PO Drawer 70
Anthony, NM 88021-0070
Mailing address
PO Drawer 70
Anthony, NM 88021-0070
Phone (575) 618-7473
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1175062 | TX | MD | Physical Therapist |
| 4463 | NM | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gadsden Independent School District | Past | Accepting new patients | |
| Gadsden Independent School District | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Local Education Agency (LEA)
- Santa Teresa, NM
- NPI 1104173095
-
- Local Education Agency (LEA)
- Sunland Park, NM
- NPI 1114143393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406851200000",
"number": "1891070918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO DRAWER 70",
"city": "ANTHONY",
"state": "NM",
"postal_code": "880210070",
"telephone_number": "575-618-7473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO DRAWER 70",
"city": "ANTHONY",
"state": "NM",
"postal_code": "880210070",
"telephone_number": "575-618-7473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENCHACA",
"first_name": "MARINA",
"middle_name": "I",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-20",
"last_updated": "2014-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "4463",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1175062",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anthony, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.