PTP INC (NPI# 1578105433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578105433 |
| Entity Type | Organization |
| Organization Name | PTP INC |
| Practice Address |
1350 Central Ave Ste 105 Los Alamos NM 87544-6217 |
| Practice Telephone | 5056623384 |
| Practice Fax Number | 5056610084 |
| Mailing Telephone | 5056623384 |
| Mailing Fax Number | 5056610084 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |
| Authorized Official Name | PETRA PIRC (PRESIDENT) |
| Authorized Official Telephone | 5054127735 |
| Authorized Official Credential | MSPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251N0400X |
Physical Therapist Specialization: Neurology |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 1427544493 | 05 |
| Other Name | Type Code |
|---|---|
| Physical Therapy Plus | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 435 Saint Michaels Dr Ste A201, Santa Fe, NM 875057644 | 5056623384 | 5056613384 |
| Street Address |
1350 CENTRAL AVE STE 105 |
| City | LOS ALAMOS |
| State | NM |
| Zip Code | 87544-6217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427544493 | Petra Pirc | Physical Therapist | 1350 Central Ave Ste 105, Los Alamos, NM 87544-6217 | 2018-07-02 |
| 1356973937 | Hanju Tsai | Physical Therapist | 1350 Central Ave Ste 105, Los Alamos, NM 87544-6217 | 2020-02-11 |
| 1053870188 | Kelli Maginot | Physical Therapist | 1350 Central Ave Ste 105, Los Alamos, NM 87544-6217 | 2019-03-18 |
| 1154895506 | Christian Quijano | Physical Therapist | 1350 Central Ave Ste 105, Los Alamos, NM 87544-6217 | 2019-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679945935 | Zia Home Health | Home Health | 1475 Central Ave., Suite 125, Los Alamos, NM 87544 | 2015-10-27 |
| 1295131167 | Sara Pocernik | Dietitian, Registered | 1450 Iris Street, Los Alamos, NM 87544 | 2014-11-05 |
| 1760824890 | Lisa Renee Marr Lyon | Psychologist | 3917 West Road, Suite 128, Children's Clinic, P.a., Los Alamos, NM 87544 | 2013-07-17 |
| 1558629725 | Rachel Meyer | Dentist | 112 Central Park Square, Los Alamos, NM 87544 | 2012-04-25 |
| 1902183908 | Susana T. Chavarria | Occupational Therapist | 5 Quemazon Pl., Los Alamos, NM 87544 | 2011-11-04 |
| 1881998664 | Dr. Tom Child and Adolescent Medicine | Pediatrics | Los Alamos Medical Center, 3917 West Rd, Suite M250, Los Alamos, NM 87544 | 2011-01-07 |
| 1952565905 | Dawn Judy Barr | Social Worker | 3 Agila Ct, Los Alamos, NM 87544 | 2008-07-17 |
| 1649452129 | Ellen Vandergust Ballard | Dentist | 111 Longview, Suite B-3, White Rock, NM 87544 | 2007-11-27 |
| 1629290283 | Wildwind Dental | Dentist | 111 Longview Drive, Suite B3, Los Alamos, NM 87544 | 2007-05-03 |
| 1255407342 | Sarah Sue Teasdale | Counselor | 1362 C Trinity Dr, Los Alamos, NM 87544 | 2006-11-28 |
| Find all providers in zip 87544 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922649359 | Darrel Thompson | Physical Therapist | 2211 Main St, Ne, Los Lunas, NM 87031 | 2019-10-07 |
| 1033686316 | Clark Bearsmith | Physical Therapist | 7849 Tramway Blvd Ne, Albuquerque, NM 87122-2515 | 2018-10-25 |
| 1407376460 | Marisa Raquel Esquivel | Physical Therapist | 9201 Montgomery Blvd Ne Ste 302, Albuquerque, NM 87111-2467 | 2017-06-21 |
| 1407394091 | Rachel Hotze | Physical Therapist | 333 W Cordova Rd Ste 100, Santa Fe, NM 87505-1852 | 2017-02-03 |
| 1285001297 | Therapy 2 Work | Physical Therapist | 2538 Camino Entrada Ste 301, Santa Fe, NM 87507-4927 | 2015-08-25 |
| 1871909069 | George Thomas | Physical Therapist | 2445 Missouri Ave Ste A, Las Cruces, NM 88001-5111 | 2014-07-08 |
| 1730511130 | Krista Leigh Riebli | Physical Therapist | 6700 Jefferson St Ne Bldg E, Albuquerque, NM 87109-4393 | 2013-08-07 |
| 1861730533 | Esther Coker | Physical Therapist | 326 Mckenzie St, Santa Fe, NM 87501-1883 | 2013-01-30 |
| 1659689347 | Taos Sports Medicine Serices LLC | Physical Therapist | 12 Crestview Drive, Ste 1s, Angel Fire, NM 87710-0489 | 2010-09-16 |
| 1942324900 | Marian Clair Bradbury | Physical Therapist | 706-d La Joya, Espanola, NM 87532-2877 | 2007-03-16 |
| Find all providers with the same taxonomy | ||||
| City | LOS ALAMOS |
| Zip Code | 87544 |
Please comment or provide details below to improve the information on PTP INC.
| 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.