Liza Black

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2936 Issued in NM

Practice address

1 Linnie Court
Edgewood, NM 87015

Phone

(505) 268-7838

NPI assigned

Jan 12, 2017

Last updated

Jan 12, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Armada Physical Therapy of Albuquerque LLC

  dba Armada Physical Therapy

  • Multi-Specialty Clinic/Center
  • Albuquerque, NM
  • NPI 1851713663
  NPD (past)
• Rio Rancho Physical Therapy

  • Orthopedic Physical Therapist
  • Rio Rancho, NM
  • NPI 1104869387
  NPD (past)
• Active Solutions Therapy Services, Inc

  dba Advanced Healing Physical Therapy

  • Physical Therapist
  • Fort Lupton, CO
  • NPI 1497190557
  NPD (past)

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1972049153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8904 ARMISTICE RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LINNIE COURT",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "87015",
            "telephone_number": "505-268-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "LIZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Asbury, OTR/L
• At Home Geriatric Counseling and Consultation
• Cynthia Batie, RPH
• Faith Beck, M.A, L.P.C.C.
• Elizabeth Bennett
• Thomas Black, NP
• Eva Mae Blakely, MS/CCC-SLP
• Krystal Marie Blanton
• Monica Briones, M.D.
• Louis R Bush, DDS

• Physical Therapist in Edgewood, NM
• Providers in Edgewood, 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 12, 2017; 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.