Trinity Therapy of Ruidoso LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TRINITY THERAPY OF RUIDOSO LLC

Practice address

415 Wingfield St
Ruidoso, NM 88345-9319

Phone

(575) 313-2335

NPI assigned

Jan 11, 2022

Organization subpart

No

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

Authorized official

Name

Esequiel Morales, MSPTNPI 1902868003

Title

Owner

Phone

(575) 313-2095

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

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

• Esequiel Morales, MPT

  • Physical Therapist
  • Ruidoso, NM
  • NPI 1902868003
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1932850153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 WINGFIELD ST",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883459319",
            "telephone_number": "575-313-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 WINGFIELD ST",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883459319",
            "telephone_number": "575-313-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY THERAPY OF RUIDOSO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "ESEQUIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-313-2095",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Mauldin Tomlin, LPCC
• Tonna D. Pate, PSYD
• Topline Therapy LLC
• Tammy Torres
• Trilogy New Mexico, LLC
• Joe D Tumalad, NP
• Tommie Turner
• Jonathan Umamaheswaran
• United Supermarkets LLC
• Sherry Vallance, LBSW

• Physical Therapist in Ruidoso, NM
• Providers in Ruidoso, 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 Jan 11, 2022; 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.