Ruidoso Physical Therapy Clinic, Inc in Ruidoso, NM - Medicare Physical Therapist Provider

Ruidoso Physical Therapy Clinic, Inc is a medicare enrolled "Physical Therapist" provider in Ruidoso, New Mexico. Their current practice location is 439 Mechem Dr, Ruidoso, New Mexico. You can reach out to their office (for appointments etc.) via phone at (575) 257-1800.

Ruidoso Physical Therapy Clinic, Inc is licensed to practice in New Mexico (license number 1781) and it also participates in the medicare program. Ruidoso Physical Therapy Clinic, 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 1265498471.

Contact Information

	Ruidoso Physical Therapy Clinic, Inc
	439 Mechem Dr, Ruidoso, NM 88345-6813
	(575) 257-1800
	(575) 257-2319

Map and Direction

Healthcare Provider's Profile

Full Name	Ruidoso Physical Therapy Clinic, Inc
Type	Facility
Speciality	Physical Therapist
Location	439 Mechem Dr, Ruidoso, New Mexico
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265498471
Provider Enumeration Date: 04/25/2006
Last Update Date: 08/29/2022

Medicare PECOS Information:

PECOS PAC ID: 4082667639
Enrollment ID: O20050409000000

Medical Identifiers

Medical identifiers for Ruidoso Physical Therapy Clinic, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265498471	NPI	-	NPPES
000L2933	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1781 (New Mexico)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ruidoso Physical Therapy Clinic, Inc acts as a billing entity for following providers:

Provider Name	Lydia C Radosevich
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1144236258 PECOS PAC ID: 6002853215 Enrollment ID: I20050409000004

Provider Name	Brandi L Darnold
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1821355918 PECOS PAC ID: 1153723028 Enrollment ID: I20210714003350

Provider Name	Kendall Gill
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1073963641 PECOS PAC ID: 4082002555 Enrollment ID: I20231031003726

Provider Name	Taylor Faust
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1093260713 PECOS PAC ID: 5092002329 Enrollment ID: I20231228001581

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. Ruidoso Physical Therapy Clinic, 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 Address	Practice Location Address
Ruidoso Physical Therapy Clinic, Inc 439 Mechem Dr, Ruidoso, NM 88345-6813 Ph: (575) 257-1800	Ruidoso Physical Therapy Clinic, Inc 439 Mechem Dr, Ruidoso, NM 88345-6813 Ph: (575) 257-1800

Reviews and Comments

Physical Therapist in Ruidoso, NM

Mrs. Roberta Renee Regalado, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 628 Sudderth Dr, Ruidoso, NM 88345 Phone: 575-257-5820 Fax: 575-257-9560
Mr. Ryan David Biricocchi, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 147 Mescalero Trl, Ruidoso, NM 88345 Phone: 505-257-5820 Fax: 505-257-9560
Dana M Wade, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1129 Mechem Dr Ste C, Ruidoso, NM 88345 Phone: 575-808-8721 Fax: 575-808-8723
Mr. Ian Christopher Paul, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 147 Mescalero Trl, Ruidoso, NM 88345 Phone: 575-257-5820
Lydia C. Radosevich, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 439 Mechem Dr, Ruidoso, NM 88345 Phone: 505-257-1800 Fax: 505-257-2319
Marla Loree Wall, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 147 Mescalero Trl, Ruidoso, NM 88345 Phone: 575-257-5820

Ruidoso Physical Therapy Clinic, Inc - Medicare Physical Therapist in Ruidoso, NM