NPIMap

Organization Active NPI

Therapy Associates Inc

  • Physical Therapist
  • Ruidoso, NM
National Provider Identifier
1902991649
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THERAPY ASSOCIATES INC
Practice address
628 Sudderth Dr
Ruidoso, NM 88345-6204
Phone
(575) 257-5820
Fax
(575) 257-9560
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Authorized official

Name
Edward Paul RegaladoNPI 1033383302
Title
Owner
Phone
(575) 257-5820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

628 Sudderth Dr
Ruidoso, NM 88345-6204

Mailing address

PO Box 7100
Ruidoso, NM 88355-7100
Phone (575) 257-5820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070220000680 NM Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3870695984 Receives reassigned benefits from 3 practitioners
Practice locations: Ruidoso, NM

National Provider Directory

National Provider Directory

Locations

415 Wingfield St
Ste A
Ruidoso, NM 88345
Phone (505) 257-5820

147 Mescalero Trl
Ruidoso, NM 88345
Phone (505) 257-5820

628 Sudderth Dr
Ruidoso, NM 88345
Phone (575) 257-5820

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1902991649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7100",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883557100",
            "telephone_number": "575-257-5820",
            "fax_number": "575-257-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 SUDDERTH DR",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456204",
            "telephone_number": "575-257-5820",
            "fax_number": "575-257-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "REGALADO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-257-5820"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruidoso, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.