FUNCTIONAL AQUATICS THERAPY (NPI# 1447684030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447684030 |
| Entity Type | Organization |
| Organization Name | FUNCTIONAL AQUATICS THERAPY |
| Practice Address |
818 Menaul Blvd. Nw Albuquerque NM 87107 |
| Mailing Address |
904 Cuatro Cerros Trl Se Albuquerque NM 87123-4146 |
| Practice Telephone | 5052039822 |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2013-08-30 |
| Authorized Official Name | ANNETTE KATHY GARCIA-HASHIMOTO (OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 5052039822 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
1595 | NM | Ambulatory Health Care Facilities |
| Street Address |
818 MENAUL BLVD. NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589785 | Benjamin Argant | Behavior Technician | 331 Candelaria Road North East Suite A, Albuquerque, NM 87107 | 2020-08-20 |
| 1679138861 | Susan Luna, Lpcc LLC | Counselor | 3221 B Candelaria Ne, Albuquerque, NM 87107 | 2019-05-03 |
| 1407310881 | Eleanor Cloe Tibbetts | Speech-Language Pathologist | 7103 4th St. Nw Chatterbox Speech Therapy, Los Ranchos, NM 87107 | 2019-01-30 |
| 1386174829 | Triple D Medical Transportation, LLC. | Secured Medical Transport (VAN) | 2123 Menaul Blvd Ne Ste B, Albuquerque, NM 87107 | 2017-06-18 |
| 1487100715 | Kayleen Weinandt | Community/Behavioral Health | 3301 Los Arboles Ne, Albuquerque, NM 87107 | 2016-08-28 |
| 1811345549 | Inverse Medical, LLC | Non-emergency Medical Transport (VAN) | 1015 Cottonwood Dr. Suite J, Albuquerque, NM 87107 | 2016-06-03 |
| 1710349220 | Evolv Strong, LLC | Specialist/Technologist | 3201 Candelaria Rd Ne, Albuquerque, NM 87107 | 2016-03-23 |
| 1982072443 | Erik Robinson | Social Worker | 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 | 2015-09-14 |
| 1033505763 | Sam Newmon Ma, Lpcc | Counselor | 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 | 2015-04-09 |
| 1760896203 | Jocelyn Fiaschetti | Social Worker | 7704 4th Street Nw, Albuquerque, NM 87107 | 2014-06-12 |
| Find all providers in zip 87107 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316977085 | Advanced Rehabilitation Service | Clinic/Center | 4001 Juan Tabo Blvd Ne Ste B, Albuquerque, NM 87111-3979 | 2006-07-05 |
| 1629078126 | Turquoise Trail Physical Therapy | Clinic/Center | 4930 Mcleod Rd Ne, Albuquerque, NM 87109-2118 | 2005-07-26 |
| 1659543742 | Spine and Muscle | Clinic/Center | 10400 Academy Rd Ne, Suite 313, Albuquerque, NM 87111-1229 | 2008-03-28 |
| 1962537761 | Navitas New Mexico LLC | Clinic/Center | 4901 Lang Ave Ne, Suite 100, Albuquerque, NM 87109-4397 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770699936 | Meca, LLC | Clinic/Center | 1350 Hillrise Circle, Las Cruces, NM 88001 | 2006-08-21 |
| 1124089206 | Select Physical Therapy of Albuquerque Ltd | Clinic/Center | 2113 Golf Course Rd Se, Number 106, Rio Rancho, NM 87124-1656 | 2006-03-29 |
| 1356341853 | Turquoise Trail Physical Therapy and Rehabilitation | Clinic/Center | 2521 Camino Entrada, Santa Fe, NM 87507-4808 | 2005-07-26 |
| 1366442865 | Turquoise Trail Physical Therapy and Rehabilitation | Clinic/Center | 786a N Saint Francis Dr, Santa Fe, NM 87501-5100 | 2005-07-26 |
| 1851768428 | Adl Experts LLC | Clinic/Center | 1519 Roosevelt Ave, Alamogordo, NM 88310-4844 | 2015-08-29 |
| 1952793648 | Community Therapies Inc | Clinic/Center | 100 E Manana Blvd Ste 1, Clovis, NM 88101-3503 | 2015-03-04 |
| 1184981458 | Occupational Therapy Services Inc | Clinic/Center | 415 W Hemlock St, Deming, NM 88030-3622 | 2012-04-11 |
| 1861772972 | A-z Therapy Services, Inc. | Clinic/Center | 304 N Richardson Ave, Roswell, NM 88201-4639 | 2011-08-19 |
| 1447209655 | Select Physical Therapy Holdings Inc | Clinic/Center | 2700 Farmington Ave, Ste C, Farmington, NM 87401-4559 | 2006-05-08 |
| City | ALBUQUERQUE |
| Zip Code | 87107 |
Please comment or provide details below to improve the information on FUNCTIONAL AQUATICS THERAPY.
| 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.