Lovelace Unm Rehabilitation Hospital Llc | |
505 Elm St Ne Albuquerque NM 87102 | |
(505) 727-4700 | |
(505) 727-4752 |
Full Name | Lovelace Unm Rehabilitation Hospital Llc |
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Speciality | Rehabilitation Hospital |
Location | 505 Elm St Ne, Albuquerque, New Mexico |
Authorized Official Name and Position | Stephen C Petrovich (EVP) |
Authorized Official Contact | 6152963000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lovelace Unm Rehabilitation Hospital Llc 1 Burton Hills Blvd Suite 250 Nashville TN 37215-6293 Ph: (615) 296-3000 | Lovelace Unm Rehabilitation Hospital Llc 505 Elm St Ne Albuquerque NM 87102 Ph: (505) 727-4700 |
NPI Number | 1700325677 |
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Provider Enumeration Date | 02/13/2017 |
Last Update Date | 09/11/2018 |
Medicare PECOS PAC ID | 5799061917 |
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Medicare Enrollment ID | O20170424000991 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700325677 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
283X00000X | Rehabilitation Hospital | (* (Not Available)) | Primary |
Provider Name | Richard T Radecki |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1184682569 PECOS PAC ID: 7214849694 Enrollment ID: I20031106000709 |
Provider Name | Thomas J Whalen |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1134120645 PECOS PAC ID: 5799683207 Enrollment ID: I20031222000538 |
Provider Name | Craig Stephen Nairn |
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Provider Type | Practitioner - Interventional Pain Management |
Provider Identifiers | NPI Number: 1669495834 PECOS PAC ID: 8426045261 Enrollment ID: I20040428000682 |
Provider Name | Julie A Muche |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1033116298 PECOS PAC ID: 5991766552 Enrollment ID: I20041117000238 |
Provider Name | Lyn A Dawson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568643146 PECOS PAC ID: 0749368835 Enrollment ID: I20080415000173 |
Provider Name | Wilfred M Lovato |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326126889 PECOS PAC ID: 4385808096 Enrollment ID: I20120608000442 |
Provider Name | Charles W Abadie |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588748081 PECOS PAC ID: 5698930964 Enrollment ID: I20120712000177 |
Provider Name | Lisa Y Allison |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184904203 PECOS PAC ID: 7416112693 Enrollment ID: I20120713000506 |
Provider Name | Joshu A Raiten |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1154565539 PECOS PAC ID: 1153540133 Enrollment ID: I20140924001696 |
Provider Name | Nancy C Allen |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629257597 PECOS PAC ID: 5395965479 Enrollment ID: I20141014000187 |
Provider Name | Janelle R Jackson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497155816 PECOS PAC ID: 3577856400 Enrollment ID: I20160729000340 |
Provider Name | Michael S Freeman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285917666 PECOS PAC ID: 8729376587 Enrollment ID: I20161011000411 |
Provider Name | Melissa A Merhege |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1003111873 PECOS PAC ID: 0244547636 Enrollment ID: I20170105000078 |
Provider Name | Doreen E Rudman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619948171 PECOS PAC ID: 7214987122 Enrollment ID: I20170526001156 |
Provider Name | Gwen N Lacerda |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1396060851 PECOS PAC ID: 1153542071 Enrollment ID: I20170901000966 |
Provider Name | Teriann Chavez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407922818 PECOS PAC ID: 1052656261 Enrollment ID: I20181217001565 |
Provider Name | Lindsey F Borders |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144671157 PECOS PAC ID: 3476898172 Enrollment ID: I20181228000847 |
Provider Name | Terah L Condrey |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558889089 PECOS PAC ID: 1153666706 Enrollment ID: I20181231000478 |
Provider Name | Megan Elizabeth Bonini |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588217855 PECOS PAC ID: 1658782073 Enrollment ID: I20201116001328 |
Provider Name | Davynne Burr |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215486923 PECOS PAC ID: 9638580780 Enrollment ID: I20201123001007 |
Provider Name | Donna Edith Trzcienski |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316552508 PECOS PAC ID: 1254742018 Enrollment ID: I20201130001386 |
Provider Name | Nisu Salvio |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366931099 PECOS PAC ID: 9436548518 Enrollment ID: I20211110002661 |
Provider Name | James Schlavin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689335408 PECOS PAC ID: 1456731041 Enrollment ID: I20220628003700 |
Provider Name | Ariana Hansen |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1386025054 PECOS PAC ID: 9032590336 Enrollment ID: I20220718003031 |
Provider Name | Elizabeth Cothell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629716972 PECOS PAC ID: 6103207378 Enrollment ID: I20220719002235 |
Provider Name | Justine Cawthorne |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962137000 PECOS PAC ID: 6800279712 Enrollment ID: I20220810000642 |
Provider Name | Mary Claire Chavez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902145543 PECOS PAC ID: 6507241163 Enrollment ID: I20220916003231 |
Provider Name | William Austin Davis |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1285024737 PECOS PAC ID: 2365711652 Enrollment ID: I20221028002384 |
Provider Name | Christopher Patrick Burton |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508353525 PECOS PAC ID: 7911256045 Enrollment ID: I20221108001186 |
Provider Name | Emily Kristine Olson |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1306185442 PECOS PAC ID: 7416347976 Enrollment ID: I20221202001020 |
Provider Name | Elyse Grant |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225745292 PECOS PAC ID: 1759750276 Enrollment ID: I20221205003288 |
Provider Name | Sean Miyaki Lopez |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356059059 PECOS PAC ID: 1850760885 Enrollment ID: I20221213002154 |
Provider Name | Zackery Billington |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1619470416 PECOS PAC ID: 3577812403 Enrollment ID: I20230621001057 |
Provider Name | Craig Charlton |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679258792 PECOS PAC ID: 0749644037 Enrollment ID: I20230920000981 |
Provider Name | Kristy Inez Gronseth |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598098352 PECOS PAC ID: 0749679280 Enrollment ID: I20231222000375 |
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Medicus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10401 Montgomery Pkwy Ne, Albuquerque, NM 87111 Phone: 505-234-1040 Fax: 505-293-7183 | |
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