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TURQUOISE TRAIL PHYSICAL THERAPY NPI 1629078126


NPI Information

NPI: 1629078126
Provider Name: TURQUOISE TRAIL PHYSICAL THERAPY
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
4930 MCLEOD RD NE
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 884-2032
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TURQUOISE TRAIL PHYSICAL THERAPY is a rehabilitation clinic center in Albuquerque, NM. TURQUOISE TRAIL PHYSICAL THERAPY NPI is 1629078126. The provider is registered as an organization entity type.

The provider's business location address is:

4930 MCLEOD RD NE
ALBUQUERQUE, NM
ZIP 87109-118
Phone: (505) 884-2032
Fax: (505) 837-2030

The provider's authorized official is Michael R Hoerning .
The authorized official title is Rpt Director and has the following contact phone number (505) 984-2032.

The enumeration date for this NPI number is 7/26/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0400XClinic/CenterRehabilitation3125NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
180455751MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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