| Derek Salas, PT | |
|
240 S Camino Del Pueblo Ste G, Bernalillo, NM 87004-6076 | |
| (505) 373-2836 | |
| Not Available |
| Full Name | Derek Salas |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 240 S Camino Del Pueblo Ste G, Bernalillo, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528742335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-2023-2113 (New Mexico) | Primary |
| Provider Name | Balanced Physical Therapy And Wellness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1407234917 PECOS PAC ID: 9032427513 Enrollment ID: O20181031001020 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Salas, PT 7849 Tramway Blvd Ne Ste A, Albuquerque, NM 87122-2529 Ph: () - | Derek Salas, PT 240 S Camino Del Pueblo Ste G, Bernalillo, NM 87004-6076 Ph: (505) 373-2836 |
Elizabeth Jaramillo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 224 N Camino Del Pueblo, Bernalillo, NM 87004 Phone: 505-404-2757 Fax: 505-867-7891 | |
Bobbi Deanna Pierson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 140 Us-550 Ste. E3, Bernalillo, NM 87004 Phone: 505-404-8652 | |
Dr. Christopher Benjamin Thompson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 140 E Highway 550 Ste E3, Bernalillo, NM 87004 Phone: 505-404-8652 | |
Ms. Jeanette Fitzpatrick, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 224 N Camino Del Pueblo, Bernalillo, NM 87004 Phone: 505-404-2757 Fax: 505-867-7891 | |
Linda D Stewart, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1083 Prairie Zinnia Dr, Bernalillo, NM 87004 Phone: 505-933-7994 Fax: 505-930-7136 | |
Vincent M Suazo, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 240 S Camino Del Pueblo, Bernalillo, NM 87004 Phone: 505-373-2836 Fax: 505-212-6746 |