| Active Solutions Therapy Serv Inc | |
|
1 Linnie Ct, Edgewood, NM 87015-9125 | |
| (505) 286-7838 | |
| (505) 286-8025 |
| Full Name | Active Solutions Therapy Serv Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 1 Linnie Ct, Edgewood, 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 |
|---|---|---|---|
| 1720075880 | NPI | - | NPPES |
| E2935 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 1666 (New Mexico) | Primary |
| Provider Name | Valerie A Gove |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699810267 PECOS PAC ID: 1951390699 Enrollment ID: I20040508000239 |
| Provider Name | Marybeth C Plummer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245418367 PECOS PAC ID: 3779533658 Enrollment ID: I20050318000043 |
| Provider Name | Sandra K Chavez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952389488 PECOS PAC ID: 4789689662 Enrollment ID: I20060927000536 |
| Provider Name | Shelly Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275712812 PECOS PAC ID: 8022268523 Enrollment ID: I20121018000272 |
| Provider Name | Carolyn G Adie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982913851 PECOS PAC ID: 1456580851 Enrollment ID: I20140205001328 |
| Provider Name | Doreen E Rudman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619948171 PECOS PAC ID: 7214987122 Enrollment ID: I20170526001156 |
| Provider Name | Rachel Colleen Harrison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720640105 PECOS PAC ID: 2769712074 Enrollment ID: I20191001000057 |
| Provider Name | Lisa N Peterkin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144882994 PECOS PAC ID: 2860819208 Enrollment ID: I20200831000621 |
| Provider Name | Mary Ann B Romero |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144808155 PECOS PAC ID: 7113326448 Enrollment ID: I20210518003099 |
| Provider Name | Amber Lampiris-tremba |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760145676 PECOS PAC ID: 3678961364 Enrollment ID: I20211029000741 |
| Provider Name | Matthew Vander Kooi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477104529 PECOS PAC ID: 4385976133 Enrollment ID: I20221020001099 |
| Provider Name | Michelle Josephine Parra |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447537162 PECOS PAC ID: 0840652657 Enrollment ID: I20230810002560 |
| Provider Name | Christopher Hughen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467172767 PECOS PAC ID: 6204212079 Enrollment ID: I20241002004230 |
| Provider Name | Matthew Shultz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730995010 PECOS PAC ID: 2264962042 Enrollment ID: I20250207003549 |
| Mailing Address | Practice Location Address |
|---|---|
| Active Solutions Therapy Serv Inc Po Box 896, Edgewood, NM 87015-0896 Ph: (505) 286-7838 | Active Solutions Therapy Serv Inc 1 Linnie Ct, Edgewood, NM 87015-9125 Ph: (505) 286-7838 |
Dr. Gavin Lynch, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1851 Old Us 66 Ste B, Edgewood, NM 87015 Phone: 505-281-8463 | |
Mrs. Paula A Jones-irvin, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 George Ct, Suite A, Edgewood, NM 87015 Phone: 505-281-8463 Fax: 505-281-8469 | |
Mary Ann B Romero, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Linnie Ct Ste Apt, Edgewood, NM 87015 Phone: 505-286-7838 Fax: 505-286-8025 | |
Amber Vialpando, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Linnie Ct, Edgewood, NM 87015 Phone: 505-286-7838 | |
Melissa Rochelle Wheeler, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Linnie Ct, Edgewood, NM 87015 Phone: 505-286-7838 Fax: 505-286-8025 | |
Michelle Josephine Parra, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 Linnie Ct, Edgewood, NM 87015 Phone: 505-286-7838 | |
Mrs. Rona H Vanwilligen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1851 Highway 333, 2-b, Edgewood, NM 87015 Phone: 505-281-8463 Fax: 505-281-8469 |