| Jennifer Lyn Kanieski, PT | |
|
10301 Golf Course Rd Nw, Albuquerque, NM 87114-5380 | |
| (928) 460-3599 | |
| Not Available |
| Full Name | Jennifer Lyn Kanieski |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 10301 Golf Course Rd Nw, Albuquerque, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255567434 | NPI | - | NPPES |
| 3863 | Other | NM | NEW MEXICO BOARD OF PHYSICAL THERAPY |
| 4499 | Other | OR | OREGON LICENSE |
| PENDING | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4499 (Oregon) | Secondary |
| 225100000X | Physical Therapist | 3863 (New Mexico) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871125328 PECOS PAC ID: 2163339722 Enrollment ID: O20200513002524 |
| Provider Name | Orthopaedic And Neurological Rehab Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225496540 PECOS PAC ID: 6507159126 Enrollment ID: O20220221001725 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lyn Kanieski, PT 8201 Golf Course Rd Nw # D3-178, Albuquerque, NM 87120-5842 Ph: (928) 460-3599 | Jennifer Lyn Kanieski, PT 10301 Golf Course Rd Nw, Albuquerque, NM 87114-5380 Ph: (928) 460-3599 |
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 | |
Amy Elizabeth Harrison, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3000 Summit Pl Ne, Albuquerque, NM 87106 Phone: 505-604-2740 | |
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 | |
Albuquerque Physical Therapists Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 7615 Indian School Rd Ne, Albuquerque, NM 87110 Phone: 505-888-7979 Fax: 505-888-8859 |