Phase Zero Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4714 Issued in NM

Legal business name

PHASE ZERO THERAPY

Practice address

206 E 11TH St
Silver City, NM 88061-5503

Phone

(575) 202-2713

NPI assigned

Jun 28, 2017

Last updated

Jun 29, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacob MartinezNPI 1366742074

Title

Owner

Phone

(575) 202-2713

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob Albert Martinez, MA, CCC-SLP

  • Speech-Language Pathologist
  • Las Cruces, NM
  • NPI 1366742074
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498694400000",
    "number": "1891216081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 OLD LITTLE WALNUT RD",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E 11TH ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615503",
            "telephone_number": "575-202-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASE ZERO THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2017-06-29",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-202-2713"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "3736",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "4714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760512784",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366742074",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krystal Marie Perea
• Lindsey Perez, RPH
• Patricia Rose Perez, CPSW
• Ryann Perry
• Susan S. Peru
• Heather Lynn Phelps
• Lesley Jo Ping, OTR/L
• Pinyon Pines Emergency Physicians LLC
• Courntey Plotts, SCHOOL PSYCHOLOGIST
• Charlotte Polanco, LMSW

• Speech-Language Pathologist in Silver City, NM
• Providers in Silver City, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; 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.