| Taos Physical Therapy, Inc. | |
|
414 Sipapu Street, Taos, NM 87571-6498 | |
| (575) 758-8761 | |
| (575) 751-0448 |
| Full Name | Taos Physical Therapy, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 414 Sipapu Street, Taos, 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 |
|---|---|---|---|
| 1205934619 | NPI | - | NPPES |
| N5566 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Alicia B Esparza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720181506 PECOS PAC ID: 3577638766 Enrollment ID: I20080822000421 |
| Provider Name | William H Breland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518963362 PECOS PAC ID: 6507774742 Enrollment ID: I20160107001336 |
| Provider Name | Paige Davidson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679674709 PECOS PAC ID: 0446343420 Enrollment ID: I20170405000117 |
| Provider Name | Andrea Renee Gutierrez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821778861 PECOS PAC ID: 2860847563 Enrollment ID: I20231016002826 |
| Mailing Address | Practice Location Address |
|---|---|
| Taos Physical Therapy, Inc. 6955 Ndcbu, Taos, NM 87571-6498 Ph: (575) 758-8761 | Taos Physical Therapy, Inc. 414 Sipapu Street, Taos, NM 87571-6498 Ph: (575) 758-8761 |
Kathleen A Alcon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1398 Weimer Rd, Ste 203, Taos, NM 87571 Phone: 575-737-0304 Fax: 575-737-0383 | |
Dr. Calvin Benjamin Glidden Iii, PT, DPT, LAT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 Herdner Rd Unit C, Taos, NM 87571 Phone: 575-613-1093 Fax: 575-613-1093 | |
Joshua R George, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 414 Sipapu Street, Taos, NM 87571 Phone: 575-758-8761 | |
Mr. Angelo A Pompeo, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1398 Weimer Rd, Suite 203, Taos, NM 87571 Phone: 575-737-0304 Fax: 575-737-0383 | |
Ramon Alexander Hamilton, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 Herdner Rd Unit C, Taos, NM 87571 Phone: 575-613-1093 Fax: 575-613-1093 | |
Demian M Knight, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1398 Weimer Rd, Suite 203, Taos, NM 87571 Phone: 575-737-0304 Fax: 575-737-9445 | |
Robert Scott Niemeier, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1398 Weimer Rd, Ste 203, Taos, NM 87571 Phone: 575-737-0304 Fax: 505-737-0383 |