Socorro Physical Therapy Incorporated | |
911b N California St, Socorro, NM 87801-4269 | |
(575) 838-1000 | |
(575) 838-2000 |
Full Name | Socorro Physical Therapy Incorporated |
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Type | Facility |
Speciality | Physical Therapist |
Location | 911b N California St, Socorro, 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 |
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1669498556 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 3059 (New Mexico) | Primary |
225X00000X | Occupational Therapist | 2067 (New Mexico) | Secondary |
Provider Name | Kelby H Stephens |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083633853 PECOS PAC ID: 9436108370 Enrollment ID: I20050118000430 |
Provider Name | William H Breland |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518963362 PECOS PAC ID: 6507774742 Enrollment ID: I20160107001336 |
Provider Name | Kristen Smith |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083132039 PECOS PAC ID: 7719251321 Enrollment ID: I20171023000023 |
Mailing Address | Practice Location Address |
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Socorro Physical Therapy Incorporated 911b N California St, Socorro, NM 87801-4269 Ph: (575) 838-1000 | Socorro Physical Therapy Incorporated 911b N California St, Socorro, NM 87801-4269 Ph: (575) 838-1000 |
Cynthia Leclerc, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 832 Highway 60, Socorro, NM 87801 Phone: 575-838-1100 | |
Kelby H Stephens, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 911 B North California, Socorro, NM 87801 Phone: 505-838-1000 Fax: 505-838-2000 | |
Ms. Linda S Martinic, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1115 N California St, Socorro, NM 87801 Phone: 505-838-0800 Fax: 505-838-3999 | |
Mrs. Judith Patricia Barrett, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1202 Highway 60, Socorro, NM 87801 Phone: 575-835-1140 | |
Kasey E Cerico, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1202 Highway 60, Socorro, NM 87801 Phone: 575-835-8761 Fax: 575-835-8763 | |
Melissa D Edmondson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1204 Highway 60, Socorro, NM 87801 Phone: 575-838-4690 Fax: 575-838-4689 | |
Kyra J Saavedra, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 Michigan St. Socorro High School, Socorro, NM 87801 Phone: 575-838-3112 |