MR. JOHN O'DELL TUCKER (NPI# 1396755419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396755419 |
| Entity Type | Individual |
| Full Name | MR. JOHN O'DELL TUCKER |
| Credential | P.T. |
| Practice Address |
535 Highway 314 Sw Los Lunas NM 87031-9600 |
| Practice Telephone | 5058660055 |
| Practice Fax Number | 5058660057 |
| Mailing Telephone | 5058660055 |
| Mailing Fax Number | 5058660057 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2014-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 458 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 000Q0406 | 05 | |
| NM | RR MEDICARE | DC4165 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366702219 | John R Tucker | Family Medicine | 178 Lakeview St N, San Benito, TX 78586-5702 | 2012-05-25 |
| 1972765592 | John J Tucker II | Family Medicine | 4672 N Sonoma Ranch Blvd Ste B, Las Cruces, NM 88011-7271 | 2008-06-25 |
| 1083814297 | John D Tucker | Radiology | 9985 Sierra Avenue, Bldg. #3, Dept. of Radiology, Fontana, CA 92335 | 2007-07-25 |
| 1023169539 | John O Tucker | Chiropractor | 202 Allamanda Dr, Lakeland, FL 33803-2928 | 2007-01-13 |
| 1023046786 | John Wade Tucker Jr. | Dentist | 4129 South First St, Milan, TN 38358 | 2006-06-29 |
| 1457347130 | John Patrick Tucker | Family Medicine | 406a Taylor St, Scottsboro, AL 35768-2424 | 2005-09-27 |
| 1558970988 | John Tucker | Nurse Practitioner | 1000 E 24th St, Kansas City, MO 64108-2776 | 2020-07-31 |
| 1396231197 | John Tucker | Emergency Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2018-07-03 |
| 1841670395 | John Mcdowell Tucker Jr. | Pharmacist | 120 Highway 14, Simpsonville, SC 29681-6056 | 2015-05-30 |
| 1154737500 | John Tucker | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2014-07-07 |
| Street Address |
535 HIGHWAY 314 SW |
| City | LOS LUNAS |
| State | NM |
| Zip Code | 87031-9600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326062423 | Steve P. Waghorn | Physical Therapist | 535 Highway 314 Sw, Los Lunas, NM 87031-9600 | 2006-07-26 |
| 1659772192 | Claire B Shores | Physical Therapist | 535 Highway 314 Sw, Los Lunas, NM 87031-9600 | 2014-09-15 |
| 1255759882 | Jeremy Woffinden | Physical Therapist | 535 Highway 314 Sw, Los Lunas, NM 87031-9600 | 2014-04-01 |
| 1336498914 | Jocelyn Farr | Physical Therapist | 535 Highway 314 Sw, Los Lunas, NM 87031-9600 | 2012-08-29 |
| 1013214857 | Valerie A Gutierrez | Physical Therapist | 535 Highway 314 Sw, Los Lunas, NM 87031-9600 | 2011-02-14 |
| 1215238910 | Patrick E Vigil | Physical Therapist | 535 Highway 314 Sw, Los Lunas, NM 87031-9600 | 2010-11-11 |
| 1538351275 | Jessica E Beard | Physical Therapist | 535 Highway 314 Sw, Los Lunas, NM 87031-9600 | 2007-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466212 | Juanita Arcelia Flores-hull | Registered Nurse | 19670 Highway 314, Belen, NM 87031 | 2020-08-06 |
| 1184267171 | Nicole Andrea Bassett | Registered Nurse | 236 Don Pasqual Rd, Los Lunas, NM 87031 | 2019-10-22 |
| 1922649359 | Darrel Thompson | Physical Therapist | 2211 Main St, Ne, Los Lunas, NM 87031 | 2019-10-07 |
| 1407415235 | Brittany Leigh Dow | Family Medicine | 328 Main St Sw, Los Lunas, NM 87031 | 2019-06-05 |
| 1942764162 | Christine Beevers | Occupational Therapy Assistant | 310 Bonita Vista Blvd, Los Lunas, NM 87031 | 2019-01-23 |
| 1669953105 | Patricia A Ziehl | Occupational Therapy Assistant | 119 Luna Ave., Los Lunas, NM 87031 | 2018-08-23 |
| 1922500776 | Mellisa Marie Everett | Massage Therapist | 3414 Nm- 47, Los Lunas, NM 87031 | 2018-03-07 |
| 1831699917 | Nachelle Lynn Pell | Registered Nurse | 310 Bonita Vista, Los Lunas, NM 87031 | 2018-02-15 |
| 1053829135 | Valencia Denise Jackson | Registered Nurse | 46 Chacon Rd., Los Lunas, NM 87031 | 2018-01-11 |
| 1548777972 | Aja Santana Armijo | Speech-Language Pathologist | 46 Chacon Blvd., Los Lunas, NM 87031 | 2018-01-08 |
| Find all providers in zip 87031 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909669 | Mercedes Van Meter | Physical Therapist | 1400 Main St Nw Ste I, Los Lunas, NM 87031-4866 | 2020-07-07 |
| 1881089233 | Dillon Mezzacappa | Physical Therapist | 2211 Main Street, Suite C, Los Lunas, NM 87031 | 2015-04-02 |
| 1639467418 | Cella Bernier | Physical Therapist | 535 Hwy 314 Sw, Los Lunas, NM 87031-9600 | 2011-07-14 |
| 1730346990 | Toni A. Martinez | Physical Therapist | 336 Luna Ave, Los Lunas, NM 87031-1436 | 2008-05-16 |
| 1881601375 | Los Ninos Therapy Center | Physical Therapist | 336 Luna Avenue, Los Lunas, NM 87031 | 2006-08-01 |
| 1326062423 | Steve P. Waghorn | Physical Therapist | 535 Highway 314 Sw, Los Lunas, NM 87031-9600 | 2006-07-26 |
| 1912922808 | Olga M. Sacasa | Physical Therapist | 535 Us Highway 314, Sw, Los Lunas, NM 87031 | 2006-07-13 |
| 1982663274 | Angela Gabriel Perez | Physical Therapist | 2211 Main St Se, Suite C, Los Lunas, NM 87031-8297 | 2006-03-23 |
| 1669089371 | Barbara Ann Rael | Physical Therapist | 106 Main St Ne Ste A, Los Lunas, NM 87031-7795 | 2020-09-26 |
| 1174040158 | David Adrian Garcia | Physical Therapist | 535 Hwy 314 Sw, Los Lunas, NM 87031-9600 | 2017-08-29 |
| Find all providers in LOS LUNAS | ||||
Please comment or provide details below to improve the information on MR. JOHN O'DELL TUCKER.
| 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.