Enchantment Physical Therapy
LBN: Anthony L. Arviso
Enchantment Physical Therapy is an health care organization with primary practice located at 1900 E Historic Highway 66 Suite 5, Gallup NM 87301-4883. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty.
Anthony L. Arviso can be contacted via phone (505) 863-4199, or through Arviso, Anthony Lionel via phone (505) 863-4199.
Contact Information
Primary practice address
1900 E Historic Highway 66 Suite 5
Gallup NM 87301-4883
Phone: (505) 863-4199
Fax: (505) 863-4196
Website:
Authorized official contact:
Name: Arviso, Anthony Lionel Physical Therapist (PT)
Phone: (505) 863-4199
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | 2151 | New Mexico |
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | 2734 | New Mexico |
Profile Details
| NPI number | 1649572348 |
|---|---|
| LBN Legal business name | Anthony L. Arviso |
| DBA Doing business as | Enchantment Physical Therapy |
| Authorized official | Arviso, Anthony Lionel Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 1st, 2010 |
| Last updated | Dec 1st, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649572348 | NPPES |
| Arizona | Other | 313193 | AHCCCS |
| Arizona | MEDICAID | 58607269 | AHCCCS |
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