Desert Grace Physical Therapy Llc is a
Clinic/center - Physical Therapy based in Santa Rosa, New Mexico. Desert Grace Physical Therapy Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
210 S 4th St, Santa Rosa, New Mexico. It can be reached at their office (for appointments etc.) via phone at
(575) 607-5371.
NPI number for Desert Grace Physical Therapy Llc is 1043006893 and their current mailing address is 1270 Hollis Rd, Santa Rosa, New Mexico. Desert Grace Physical Therapy Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1043006893.
Healthcare Provider's Profile
| Full Name | Desert Grace Physical Therapy Llc |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Physical Therapy |
|---|
| Location | 210 S 4th St, Santa Rosa, New Mexico |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043006893
- Provider Enumeration Date: 04/17/2025
- Last Update Date: 04/06/2026
Medical Identifiers
Medical identifiers for Desert Grace Physical Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1043006893 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Desert Grace Physical Therapy Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Desert Grace Physical Therapy Llc 1270 Hollis Rd, Santa Rosa, NM 88435-3715 Ph: (575) 607-5371 | Desert Grace Physical Therapy Llc 210 S 4th St, Santa Rosa, NM 88435-2313 Ph: (575) 607-5371 |
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