Myles Sandoval

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1316075 Issued in TX

Practice address

980 Bosque Farms Blvd
Bosque Farms, NM 87068-9652

Phone

(505) 554-0052

NPI assigned

Mar 21, 2019

Last updated

Oct 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aegis Group Practice LLC

  • Physical Therapist
  • Albuquerque, NM
  • NPI 1427774959

  Single Specialty

  NPD
• Bosque Therapy Center, LLC

  • Speech-Language Pathologist
  • Bosque Farms, NM
  • NPI 1396354981

  Physical Therapist

  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030
  NPD
• The ABA Spot LLC

  • Behavior Analyst
  • Wylie, TX
  • NPI 1336070671

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1992265458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 NARA VISA RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871076017",
            "telephone_number": "512-294-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 BOSQUE FARMS BLVD",
            "city": "BOSQUE FARMS",
            "state": "NM",
            "postal_code": "870689652",
            "telephone_number": "505-554-0052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14683 Midway Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "TX",
            "postal_code": "750013188",
            "country_code": "US",
            "telephone_number": "214-483-3170",
            "fax_number": "214-377-4244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "MYLES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT6032",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1316075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kreig Robert Peterson, LMT, NCBTMB, MMT
• Ettore Pittore, PT
• Michelle Randall, MOTR-L
• Kelly Robinson
• Korah Makayla Roybal
• Stacie Shain, D.O.M
• Matthew Smith, LMSW
• Southwest Medical Clinic Inc
• Martha Brown Swinney, MA, CCC-SLP
• Teekees Clinic

• Physical Therapist in Bosque Farms, NM
• Providers in Bosque Farms, 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 Oct 27, 2022; 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.