Individual provider Active NPI

Angela Gabriel Perez Drew, MPT

  • Physical Therapist
  • Kirtland Air Force Base, NM
National Provider Identifier
1982663274
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3204 Issued in NM
Practice address
2050A Second Street SE
Kirtland Air Force Base, NM 87031-8297
Phone
(505) 846-3200
Fax
(505) 866-1767
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3204 NM Primary

Addresses

Primary practice location

2050A Second Street SE
Kirtland Air Force Base, NM 87031-8297

Mailing address

732 Florida St SE
Albuquerque, NM 87108-3831
Phone (505) 270-4231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3204NMMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Physical Therapists Inc Past Accepting new patients
New Mexico Physical Therapists Dba Vibrantcare Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1982663274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 FLORIDA ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871083831",
            "telephone_number": "505-270-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050A SECOND STREET SE",
            "city": "KIRTLAND AIR FORCE BASE",
            "state": "NM",
            "postal_code": "870318297",
            "telephone_number": "505-846-3200",
            "fax_number": "505-866-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ DREW",
        "first_name": "ANGELA",
        "middle_name": "GABRIEL",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirtland Air Force Base, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.