ROCKY PHYSICAL THERAPY RESILIENCE & TRAINING CENTER PC (NPI# 1164038204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164038204 |
| Entity Type | Organization |
| Organization Name | ROCKY PHYSICAL THERAPY RESILIENCE & TRAINING CENTER PC |
| Other Organization Name | ROCK PHYSICAL THERAPY |
| Practice Address |
845 Sullivan Ave Farmington NM 87401-7356 |
| Mailing Address |
845 N Sullivan Ave Farmington NM 87401-7356 |
| Practice Telephone | 5058607812 |
| Mailing Telephone | 5052892949 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | DR. MARLYN BRIAN WYATT (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 5052892949 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Rock Physical Therapy | Doing Business As Name - Organization |
| Street Address |
845 SULLIVAN AVE |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-7356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679931075 | Rhodes Physical Therapy, Inc | Clinic/Center | 722 W. Shepard Lane Suite 105, Farmington, UT 84025 | 2016-02-01 |
| 1811256860 | Three Rivers Physical Therapy Inc | Clinic/Center | 3701 Messina Drive, #108, Farmington, NM 87402-8740 | 2012-05-11 |
| 1003073222 | Rehabclinics Spt Inc | Clinic/Center | 10 Talcott Gln, University of Ct, Farmington, CT 06032-3526 | 2008-05-16 |
| 1538343827 | Arc Therapy Services LLC | Clinic/Center | 20 Devonwood Dr, Farmington, CT 06032-1417 | 2007-12-21 |
| 1770008971 | Jennifer Nicole Mcdonough | Clinic/Center | 499 Farmington Ave, Farmington, CT 06032-1943 | 2017-08-08 |
| 1922051192 | Prorehab, PC | Clinic/Center | 1355 Maple St, Farmington, MO 63640-7641 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733043 | Forest Neal Jarnagin | Clinic/Center | 6400 Natalie Ave Ne, Albuquerque, NM 87110-1308 | 2020-06-04 |
| 1568012565 | Topline Therapy LLC | Clinic/Center | 1602 E Greene St, Carlsbad, NM 88220-9705 | 2019-09-12 |
| 1225547706 | Corephysio, LLC | Clinic/Center | 1850 Old Pecos Trail, Suite H, Santa Fe, NM 87505-4760 | 2017-09-27 |
| 1104366533 | La Luz Therapy Services | Clinic/Center | 5400 Sevilla Ave Nw Ste E, Albuquerque, NM 87120-1853 | 2017-03-04 |
| 1316485352 | Level Physical Therapy LLC | Clinic/Center | 2801 Girard Blvd Ne, Ste L, Albuquerque, NM 87107-1936 | 2017-02-10 |
| 1619349743 | Sentry Safety and Physical Therapy Specialists, LLC | Clinic/Center | 4504 Verde Dr, Roswell, NM 88201-9159 | 2015-10-28 |
| 1629444278 | Thrive Therapy | Clinic/Center | 3811 Academy Parkway South Ne, Albuquerque, NM 87109-4410 | 2015-08-18 |
| 1407234917 | Balanced Physical Therapy and Wellness LLC | Clinic/Center | 6100 Chamblee Ct Ne, Albuquerque, NM 87111-7242 | 2015-05-16 |
| 1770960643 | Accelerated Therapy & Wellness, LLC | Clinic/Center | 1418 Luisa St Ste 4, Santa Fe, NM 87505-4091 | 2015-04-30 |
| 1366847725 | Living Waters Physical Therapy | Clinic/Center | 955 Ranchero Rd, Bosque Farms, NM 87068-9123 | 2014-10-28 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on ROCKY PHYSICAL THERAPY RESILIENCE & TRAINING CENTER PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.