Carolyn G Adie, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1049 Issued in NM

Practice address

1090 Mountain Valley Rd
Edgewood, NM 87015-8044

Phone

(505) 281-1811

NPI assigned

Sep 27, 2010

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

Enrolled in NM

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of New Mexico School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fowler Enterprises IncGroup PAC ID 6305808692, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fowler Enterprises Inc

  • Physical Therapist
  • Moriarty, NM
  • NPI 1669455994
  Medicare reassignment Care Compare group NPD
• Active Solutions Therapy Serv Inc

  • Orthopedic Physical Therapist
  • Edgewood, NM
  • NPI 1720075880
  Medicare reassignment NPD
• THNM Skyline Therapy Services

  • Speech-Language Pathologist
  • Edgewood, NM
  • NPI 1881757946

  Physical Therapist

  NPD (past)
• Active Solutions Therapy Services, Inc

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

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1982913851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3778",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870153778",
            "telephone_number": "505-281-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 MOUNTAIN VALLEY RD",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870158044",
            "telephone_number": "505-281-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADIE",
        "first_name": "CAROLYN",
        "middle_name": "G",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "1049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandi Abernathy, LPCC
• Active Solutions Therapy Serv Inc
• Dana Allsop, CNP
• John Robert Alvis, R.PH.
• Annajita Anderson, PHARMD
• Robert Andrews Jr., RPH
• Jolene Alisandra Aragon-Rosales, D.C.

• 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 Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.