Carlsbad Physical Therapy & Wellness Center, Llc | |
126 S Canyon St, Carlsbad, NM 88220-5733 | |
(575) 439-1397 | |
(575) 437-2622 |
Full Name | Carlsbad Physical Therapy & Wellness Center, Llc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 126 S Canyon St, Carlsbad, 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 |
---|---|---|---|
1841205200 | NPI | - | NPPES |
E6877 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
Provider Name | David G Morrison |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265425052 PECOS PAC ID: 1254381809 Enrollment ID: I20050201000002 |
Provider Name | Robert J Pattillo |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194718072 PECOS PAC ID: 3173433141 Enrollment ID: I20080204000509 |
Provider Name | Michael Wallace |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578556312 PECOS PAC ID: 8426105149 Enrollment ID: I20090416000071 |
Provider Name | Liliana Labady |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598962524 PECOS PAC ID: 0143377861 Enrollment ID: I20090416000083 |
Provider Name | Liane M Krcil |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588657399 PECOS PAC ID: 8921155649 Enrollment ID: I20090416000115 |
Provider Name | Gilles C Izeboud |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558458224 PECOS PAC ID: 7810044534 Enrollment ID: I20090416000136 |
Provider Name | Chris V Kotter |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003139726 PECOS PAC ID: 0941337166 Enrollment ID: I20100420000808 |
Provider Name | Benjamin Freston |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528389426 PECOS PAC ID: 2860517794 Enrollment ID: I20100916000181 |
Provider Name | Brenda Hadden |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568583367 PECOS PAC ID: 8022096981 Enrollment ID: I20140915001351 |
Provider Name | William H Breland |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518963362 PECOS PAC ID: 6507774742 Enrollment ID: I20160107001336 |
Provider Name | Victor Carrasco |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578914818 PECOS PAC ID: 5799077673 Enrollment ID: I20160713002200 |
Provider Name | Oliver C Nuique |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003363037 PECOS PAC ID: 4587943691 Enrollment ID: I20161114000494 |
Provider Name | Kurtis Mcintire |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205383155 PECOS PAC ID: 1052694643 Enrollment ID: I20170206000611 |
Provider Name | Matthew Baldwin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962930222 PECOS PAC ID: 9638447014 Enrollment ID: I20170608001854 |
Provider Name | Paxton Clark |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740719459 PECOS PAC ID: 2860760865 Enrollment ID: I20170615002129 |
Provider Name | Alexandra L Cooper |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588140198 PECOS PAC ID: 4789933532 Enrollment ID: I20180828001204 |
Provider Name | Hannah Beth Curtis |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891275285 PECOS PAC ID: 8729331921 Enrollment ID: I20181105000976 |
Provider Name | Colette Stanton |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518268507 PECOS PAC ID: 4284968165 Enrollment ID: I20190626002455 |
Provider Name | Ty Balty |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376196568 PECOS PAC ID: 9830427970 Enrollment ID: I20190827002801 |
Provider Name | Benjamin C. Salinas |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689215394 PECOS PAC ID: 0143652370 Enrollment ID: I20191108002486 |
Provider Name | April D Rex |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710389481 PECOS PAC ID: 3870715121 Enrollment ID: I20200303000117 |
Provider Name | Emily Pattillo |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073139341 PECOS PAC ID: 4789007907 Enrollment ID: I20200707002018 |
Provider Name | Nicholas Suardi |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124632971 PECOS PAC ID: 3779900972 Enrollment ID: I20200902002598 |
Provider Name | Mike L Anthony |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437763786 PECOS PAC ID: 8729406236 Enrollment ID: I20200916000145 |
Provider Name | Haunz Murdoch |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568051472 PECOS PAC ID: 4789091323 Enrollment ID: I20210329000703 |
Provider Name | Elizabeth Weed |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932877099 PECOS PAC ID: 8224436407 Enrollment ID: I20211004000743 |
Provider Name | Zachary Carr |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053080416 PECOS PAC ID: 2365835477 Enrollment ID: I20220214002475 |
Provider Name | Lauren Miterko |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992423891 PECOS PAC ID: 2466838925 Enrollment ID: I20221006001232 |
Provider Name | Bridget Colleen Mattes |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538813928 PECOS PAC ID: 0244624971 Enrollment ID: I20230119001600 |
Provider Name | Brianna Michelle Burkard |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477146439 PECOS PAC ID: 3173939428 Enrollment ID: I20230511000715 |
Provider Name | Suzanne M Jennings |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598096398 PECOS PAC ID: 7012363278 Enrollment ID: I20231024001804 |
Provider Name | Makayla Chain |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891550133 PECOS PAC ID: 6002254885 Enrollment ID: I20240401000119 |
Mailing Address | Practice Location Address |
---|---|
Carlsbad Physical Therapy & Wellness Center, Llc Po Box 2860, Alamogordo, NM 88311-2860 Ph: (575) 439-1397 | Carlsbad Physical Therapy & Wellness Center, Llc 126 S Canyon St, Carlsbad, NM 88220-5733 Ph: (575) 439-1397 |
Brad Mcewen, Physical Therapist Medicare: Medicare Enrolled Practice Location: 910 W Pierce St Apt 94, Carlsbad, NM 88220 Phone: 903-724-4949 | |
Nicholas Suardi, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 126 S Canyon St, Carlsbad, NM 88220 Phone: 575-628-0503 Fax: 575-628-3073 | |
Amena Nausheen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 N Canal St, Carlsbad, NM 88220 Phone: 575-885-1814 | |
Dr. Steven Schuhmann, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 S. Canyon Road, Carlsbad, NM 88220 Phone: 575-628-3073 | |
Mr. Andrew Slegel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 128 S Canyon St, Carlsbad, NM 88220 Phone: 575-628-0503 | |
Daniel P Blair, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 128 S Canyon St, Carlsbad, NM 88220 Phone: 575-628-0503 Fax: 575-628-3073 | |
Shannon Leigh, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 N Canal St, Carlsbad, NM 88220 Phone: 575-885-1814 |