Liza Black
Individual provider Active NPI Physical Therapist · Edgewood, NM
NPI 1972049153 · NPPES record last updated Jan 12, 2017
Key facts
- NPI
- 1972049153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2936 (NM)
- Practice address
- 1 Linnie Court
Edgewood, NM 87015 - Phone
- (505) 268-7838
- NPI assigned
- Jan 12, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Solutions Therapy Services, Inc | Physical Therapist | Past | Accepting new patients |
| Rio Rancho Physical Therapy | Past |
Accepting new patients | |
| Armada Physical Therapy of Albuquerque LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2936 | NM | Yes |
Addresses
Primary practice location
1 Linnie Court
Edgewood, NM 87015
Mailing address
8904 Armistice Rd NE
Albuquerque, NM 87109-5140
Other providers in Edgewood, NM
- Kirsten Asbury
- At Home Geriatric Counseling and Consultation
- Cynthia Batie
- Faith Beck
- Elizabeth Bennett
- Thomas Black
- Eva Mae Blakely
- Krystal Marie Blanton
- Monica Briones
- Louis R Bush
All providers in Edgewood, 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 Jan 12, 2017. 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.