Mary Claire Chavez

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4934 Issued in NM

Practice address

111 Rio Rancho Blvd SE
Rio Rancho, NM 87124-7020

Phone

(505) 727-4950

NPI assigned

Feb 1, 2013

Last updated

Jul 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1902145543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 EUBANK BLVD SE",
            "address_2": "BLDG. 831/832",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871233453",
            "telephone_number": "505-844-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 RIO RANCHO BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871247020",
            "telephone_number": "505-727-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "MARY",
        "middle_name": "CLAIRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-01",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT4934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larissa Chavez
• Lisa M Chavez, CPSW
• Louise Claire Chavez, O.T.R.
• Makita Leann Chavez, CNP
• Marsha Victoria Chavez
• Melissa E Chavez
• Michelle Chavez
• Symmone Chavez
• Tami Dixon Chavez, CSW
• Dkyrah Chee

• Physical Therapist in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.