Southwest Physical & Sports Therapy, Ltd
LBN: Southwest Physical & Sports Therapy, Ltd
Southwest Physical & Sports Therapy, Ltd is an health care organization with primary practice located at 2513 Ridge Runner Rd , Las Vegas NM 87701-4972. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Southwest Physical & Sports Therapy, Ltd can be contacted via phone (505) 425-1117, or through Stoklosa, Carolyn via phone (505) 425-1117.
Contact Information
Primary practice address
2513 Ridge Runner Rd
Las Vegas NM 87701-4972
Phone: (505) 425-1117
Fax: (505) 454-7810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6614 | New Mexico |
Profile Details
| NPI number | 1447268958 |
|---|---|
| LBN Legal business name | Southwest Physical & Sports Therapy, Ltd |
| DBA Doing business as | |
| Authorized official | Stoklosa, Carolyn Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Feb 6th, 2012 - about 13 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 | 1447268958 | NPPES |
| New Mexico | MEDICAID | Q0423 | |
| New Mexico | Other | 201079769 |
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