Physical Therapy & Sports Medicine Of Northern New Mexico, Inc. - Medicare Physical Therapist in Aztec, NM

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Physical Therapy & Sports Medicine Of Northern New Mexico, Inc. is a medicare enrolled "Physical Therapist" provider in Aztec, New Mexico. Their current practice location is 505 N Main Ave, Aztec, New Mexico. You can reach out to their office (for appointments etc.) via phone at (505) 334-9616.

Physical Therapy & Sports Medicine Of Northern New Mexico, Inc. is licensed to practice in New Mexico (license number 1025) and it also participates in the medicare program. Physical Therapy & Sports Medicine Of Northern New Mexico, Inc. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1306069224.

Contact Information

Physical Therapy & Sports Medicine Of Northern New Mexico, Inc.
505 N Main Ave,
Aztec, NM 87410-1975
(505) 334-9616
(505) 334-7343

Map and Direction




Healthcare Provider's Profile

Full NamePhysical Therapy & Sports Medicine Of Northern New Mexico, Inc.
TypeFacility
SpecialityPhysical Therapist
Location505 N Main Ave, Aztec, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306069224
  • Provider Enumeration Date: 04/10/2007
  • Last Update Date: 08/31/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1951401785
  • Enrollment ID: O20070710000300

Medical Identifiers

Medical identifiers for Physical Therapy & Sports Medicine Of Northern New Mexico, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306069224NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 1025 (New Mexico)Primary
225200000XPhysical Therapy Assistant A-0483 (New Mexico)Secondary
2255A2300XSpecialist/technologist - Athletic Trainer 108 (New Mexico)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Physical Therapy & Sports Medicine Of Northern New Mexico, Inc. acts as a billing entity for following providers:
Provider NameSid S Mosiman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871667089
PECOS PAC ID: 7911007745
Enrollment ID: I20070710000359
Provider NameMatthew P Shell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962827568
PECOS PAC ID: 5698992428
Enrollment ID: I20140819000164
Provider NameMatthew V Fernandez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851001077
PECOS PAC ID: 9931562071
Enrollment ID: I20230823000316

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. Physical Therapy & Sports Medicine Of Northern New Mexico, Inc. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Physical Therapy & Sports Medicine Of Northern New Mexico, Inc.
505 N Main Ave,
Aztec, NM 87410-1975

Ph: (505) 334-9616		Physical Therapy & Sports Medicine Of Northern New Mexico, Inc.
505 N Main Ave,
Aztec, NM 87410-1975

Ph: (505) 334-9616

Reviews and Comments


Physical Therapist in Aztec, NM

Margaret Irene Gores, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 505 N Main Ave, Aztec, NM 87410
Phone: 505-334-9616    Fax: 505-334-7343
Gordon Henriksen,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1607 W Aztec Blvd, Aztec, NM 87410
Phone: 505-334-3695    
Matthew Vidal Fernandez, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 505 N Main Ave, Aztec, NM 87410
Phone: 505-334-9616    
Mr. Sid Mosiman, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 604 S Rio Grande Ave, Aztec, NM 87410
Phone: 505-334-9616    Fax: 505-334-7343

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.