ANTHONY L. ARVISO (NPI# 1649572348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649572348 |
| Entity Type | Organization |
| Organization Name | ANTHONY L. ARVISO |
| Other Organization Name | ENCHANTMENT PHYSICAL THERAPY |
| Practice Address |
1900 E Historic Highway 66 Suite 5 Gallup NM 87301-4883 |
| Practice Telephone | 5058634199 |
| Practice Fax Number | 5058634196 |
| Mailing Telephone | 5058634199 |
| Mailing Fax Number | 5058634196 |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |
| Authorized Official Name | ANTHONY LIONEL ARVISO (OWNER) |
| Authorized Official Telephone | 5058634199 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2734 | NM | Ambulatory Health Care Facilities |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2151 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 313193 | 01 |
| NM | 58607269 | 05 |
| Other Name | Type Code |
|---|---|
| Enchantment Physical Therapy | Doing Business As Name - Organization |
| Street Address |
1900 E HISTORIC HIGHWAY 66 SUITE 5 |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-4883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548337009 | Anthony Lionel Arviso | Physical Therapist | 1900 E Historic Highway 66, Suite 5, Gallup, NM 87301-4883 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619381175 | Therapy Mobz LLC | Clinic/Center | 211 E Aztec Ave, Gallup, NM 87301-6187 | 2014-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038204 | Rocky Physical Therapy Resilience & Training Center PC | Clinic/Center | 845 Sullivan Ave, Farmington, NM 87401-7356 | 2020-09-22 |
| 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 |
| Find all providers with the same taxonomy | ||||
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| 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.