| Summit Rehabilitation Llc | |
|
722 E Florida St, Deming, NM 88030-5310 | |
| (505) 546-2555 | |
| (505) 546-2725 |
| Full Name | Summit Rehabilitation Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 722 E Florida St, Deming, 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 |
|---|---|---|---|
| 1477542041 | NPI | - | NPPES |
| 104461700 | Other | US DEPT OF LABOR | |
| 73559 | Other | PRES | |
| P00079902 | Other | RR MEDICARE | |
| 23693 | Other | LVLC | |
| 57831271 | Medicaid | NM | |
| NMO1Q136 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2570 (New Mexico) | Primary |
| Provider Name | Shannon M Stevens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497844732 PECOS PAC ID: 8224219662 Enrollment ID: I20110218000172 |
| Provider Name | Ashley Fetrow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609267194 PECOS PAC ID: 1850618778 Enrollment ID: I20150402000275 |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Rehabilitation Llc 722 E Florida St, Deming, NM 88030-5310 Ph: (505) 546-2555 | Summit Rehabilitation Llc 722 E Florida St, Deming, NM 88030-5310 Ph: (505) 546-2555 |
Mr. Jose Miguel Aldea, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1510 S Slate St, Deming, NM 88030 Phone: 575-544-8669 Fax: 575-546-0338 | |
Mrs. Shannon Marie Stevens, M. S. P. T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 722 E Florida St/po Bx1518, Deming, NM 88030 Phone: 505-546-2555 Fax: 505-546-2725 | |
Ashley N Fetrow, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 722 E Florida St, Deming, NM 88030 Phone: 575-546-2555 Fax: 575-546-2725 | |
Barbara L Reedy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 W Florida St, Deming, NM 88030 Phone: 575-546-0427 |