Stephanie Hines, PT
Individual provider Active NPI Physical Therapist · Albuquerque, NM
NPI 1902205644 · NPPES record last updated Aug 19, 2014
Key facts
- NPI
- 1902205644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4511 (NM)
- Practice address
- 6301 Forest Hills Dr NE
Albuquerque, NM 87109-4137 - Phone
- (505) 823-8399
- NPI assigned
- Aug 19, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4511 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4511 | NM | Yes |
Addresses
Primary practice location
6301 Forest Hills Dr NE
Albuquerque, NM 87109-4137
Mailing address
6301 Forest Hills Dr NE
Albuquerque, NM 87109-4137
Phone (505) 823-8399
Other providers in Albuquerque, NM
- Alexis Sydney Hinds
- Juliana J Hine
- Catherine Hines
- Kelly Hines
- Nicole Hines
- Tatyona Hines
- Robin Hinman
- Eugene I Hinojos Jr.
- Rose Marie Hinojosa
- Carol S Hinote
All providers in Albuquerque, NM · Physical Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.