Nmvahcs

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2615 Issued in NM

Legal business name

NMVAHCS

Doing business as

New Mexico VA Healthcare System

Practice address

813 Madeira Dr SE
1501 San Pedro Dr. SE
Albuquerque, NM 87108-3615

Phone

(505) 265-1711

Fax

(505) 256-5493

NPI assigned

Apr 6, 2006

Organization subpart

No

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

Authorized official

Name

Sahreem A Luergan, P.T.

Title

Physical Therapist

Phone

(505) 265-1711

Specialties & licenses 1

Addresses

Other names 1

• New Mexico VA Healthcare System Doing business as

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912960576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SAN PEDRO DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871085153",
            "telephone_number": "505-265-1711",
            "fax_number": "505-256-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 MADEIRA DR SE",
            "address_2": "1501 SAN PEDRO DR. SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871083615",
            "telephone_number": "505-265-1711",
            "fax_number": "505-256-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NMVAHCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUERGAN",
        "authorized_official_first_name": "SAHREEM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "505-265-1711",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Mexico VA Healthcare System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Albuquerque, NM
• Providers in Albuquerque, 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 Aug 22, 2020; 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.