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5130 San Francisco Rd Ne Ste B, Albuquerque, NM 87109-4618 | |
| (505) 823-2411 | |
| (505) 858-0650 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5130 San Francisco Rd Ne Ste B, Albuquerque, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972679272 | NPI | - | NPPES |
| 695957 | Other | NM | ACN |
| NM00N582 | Other | NM | BCBS |
| 188126500 | Other | NM | ACS |
| 26790 | Other | NM | PRESBYTERIAN HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 6761 (New Mexico) | Primary |
| Provider Name | William A Dunbar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750457081 PECOS PAC ID: 1951564020 Enrollment ID: I20120530000190 |
| Provider Name | Melody D Krech |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003982323 PECOS PAC ID: 2365430220 Enrollment ID: I20120620000062 |
| Provider Name | Christine M Boling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033357504 PECOS PAC ID: 7416105929 Enrollment ID: I20120906000882 |
| Provider Name | Charles Tyler Kettenring |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841960184 PECOS PAC ID: 7113315250 Enrollment ID: I20211022001149 |
| Mailing Address | Practice Location Address |
|---|---|
5130 San Francisco Rd Ne Ste B, Albuquerque, NM 87109-4618 Ph: (505) 823-2411 | 5130 San Francisco Rd Ne Ste B, Albuquerque, NM 87109-4618 Ph: (505) 823-2411 |
Rebecca A Vidos-roland, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 Phone: 505-343-6328 Fax: 505-727-9515 | |
Roylee Luna, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4411 Montano Rd Nw, Suite F, Albuquerque, NM 87120 Phone: 505-838-8900 Fax: 505-838-8313 | |
Dr. Ian Sean Ruybalid, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2116 Vista Oeste Nw Bldg 3a, Albuquerque, NM 87120 Phone: 505-895-9353 Fax: 505-212-0786 | |
Amy Elizabeth Harrison, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3000 Summit Pl Ne, Albuquerque, NM 87106 Phone: 505-604-2740 | |
Leeann Schober, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4411 San Mateo Blvd Ne Ste 11, Albuquerque, NM 87109 Phone: 515-217-3907 Fax: 505-348-0063 | |
Melody Dawn Krech, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5130 San Francisco Rd Ne, Ste B, Albuquerque, NM 87109 Phone: 505-823-2411 Fax: 505-858-0650 | |
William L Rohrig, THERAPY DIR. II Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5700 Harper Dr Ne, Albuquerque, NM 87109 Phone: 505-858-8526 Fax: 505-858-8570 |