Taos Sports Medicine Serices Llc is a
Physical Therapist - Orthopedic based in Angel Fire, New Mexico. Taos Sports Medicine Serices Llc is licensed to practice in New Mexico (license number 3072B1) and their current practice location is
12 Crestview Drive, Ste 1s, Angel Fire, New Mexico. It can be reached at their office (for appointments etc.) via phone at
(575) 377-1900.
NPI number for Taos Sports Medicine Serices Llc is 1659689347 and their current mailing address is 1398 Weimer Rd, Ste 203, Taos, New Mexico. Taos Sports Medicine Serices Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1659689347.
Healthcare Provider's Profile
Full Name | Taos Sports Medicine Serices Llc |
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Type | Facility |
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Speciality | Physical Therapist - Orthopedic |
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Location | 12 Crestview Drive, Angel Fire, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659689347
- Provider Enumeration Date: 09/16/2010
- Last Update Date: 09/16/2010
Medical Identifiers
Medical identifiers for Taos Sports Medicine Serices Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659689347 | NPI | - | NPPES |
43383386 | Medicaid | NM | |
700521047 | Other | NM | MEDICARE GROUP PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251X0800X | Physical Therapist - Orthopedic | 3072B1 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Taos Sports Medicine Serices Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Taos Sports Medicine Serices Llc 1398 Weimer Rd, Ste 203, Taos, NM 87571-6397 Ph: (575) 737-0304 | Taos Sports Medicine Serices Llc 12 Crestview Drive, Ste 1s, Angel Fire, NM 87710-0489 Ph: (575) 377-1900 |
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