Active NPI
Ryan Louis Fresquez, DPT
- Physical Therapist
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5754
- Practice address
- 6100 Jefferson St NE Ste a
Albuquerque, NM 87109-3493 - Phone
- (505) 948-4555
- Fax
- (505) 508-1406
- NPI assigned
- Aug 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5754 | NM | Primary |
Addresses
Primary practice location
6100 Jefferson St NE Ste a
Albuquerque, NM 87109-3493
Mailing address
6100 Jefferson St NE Ste a
Albuquerque, NM 87109-3493
Phone (505) 948-4555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9664 Eagle Ranch Rd NW
Suite 4
Albuquerque, NM 87114-1577
Phone (505) 948-4555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5754 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Therapy Services, LLC | Physical Therapist | Current | Accepting new patients |
Locations
6100 Jefferson St NE
Ste A
Albuquerque, NM 87109
Phone (505) 948-4555
9664 Eagle Ranch Rd NW
Ste 4
Albuquerque, NM 87114
Phone (505) 948-4555
6700 Jefferson St NE
Bldg E
Albuquerque, NM 87109
Phone (505) 537-9906
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Albuquerque, NM
- NPI 1326460692
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1891306932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 JEFFERSON ST NE STE A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093493",
"telephone_number": "505-948-4555",
"fax_number": "505-508-1406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 JEFFERSON ST NE STE A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093493",
"telephone_number": "505-948-4555",
"fax_number": "505-508-1406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRESQUEZ",
"first_name": "RYAN",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-12",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "PT5754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.