| Armada Physical Therapy Of Albuquerque Llc | |
|
2929 Coors Blvd Nw Ste 100 Albuquerque NM 87120-1173 | |
| (505) 836-4990 | |
| (505) 908-3918 |
| Full Name | Armada Physical Therapy Of Albuquerque Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2929 Coors Blvd Nw Ste 100, Albuquerque, New Mexico |
| Authorized Official Name and Position | Robert Pace (CONTRACTING) |
| Authorized Official Contact | 9452600010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Armada Physical Therapy Of Albuquerque Llc 2600 Dallas Pkwy Ste 290 Frisco TX 75034-7493 Ph: (945) 260-0010 | Armada Physical Therapy Of Albuquerque Llc 2929 Coors Blvd Nw Ste 100 Albuquerque NM 87120-1173 Ph: (505) 836-4990 |
| NPI Number | 1851713663 |
|---|---|
| Provider Enumeration Date | 01/13/2014 |
| Last Update Date | 07/08/2026 |
| Medicare PECOS PAC ID | 9830328954 |
|---|---|
| Medicare Enrollment ID | O20140425001527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851713663 | NPI | - | NPPES |
| 39089088 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Taylor A Evans |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063588309 PECOS PAC ID: 9133222375 Enrollment ID: I20070308000581 |
| Provider Name | Lynda Marie Michalk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134553969 PECOS PAC ID: 6709011075 Enrollment ID: I20131023001061 |
| Provider Name | Elizabeth Jean Kane Lonergan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194192583 PECOS PAC ID: 3678882735 Enrollment ID: I20151013000268 |
| Provider Name | Armand Larragoite |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033568969 PECOS PAC ID: 9537452461 Enrollment ID: I20160729000130 |
| Provider Name | Kathryn Violet Drinnan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033567714 PECOS PAC ID: 3870884778 Enrollment ID: I20171120000099 |
| Provider Name | Melody K Rattanapote-malaney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659775641 PECOS PAC ID: 0648523027 Enrollment ID: I20181101001104 |
| Provider Name | Timothy Serrano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871910653 PECOS PAC ID: 6507175502 Enrollment ID: I20190124000426 |
| Provider Name | Amarissa R Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942724307 PECOS PAC ID: 2567798093 Enrollment ID: I20190722002763 |
| Provider Name | Shawn E Davidson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104473339 PECOS PAC ID: 6305177205 Enrollment ID: I20191008000285 |
| Provider Name | Mercedes Staffieri Van Meter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750909669 PECOS PAC ID: 2860816287 Enrollment ID: I20200717003103 |
| Provider Name | Keith Roehl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346901097 PECOS PAC ID: 9133513260 Enrollment ID: I20220307000025 |
| Provider Name | Bobbi Deanna Pierson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124754601 PECOS PAC ID: 1658754221 Enrollment ID: I20220815000902 |
| Provider Name | Fiona Bisoffi-harris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316668890 PECOS PAC ID: 7810364361 Enrollment ID: I20221114000420 |
| Provider Name | Joshua Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942917166 PECOS PAC ID: 8628447984 Enrollment ID: I20221207002791 |
| Provider Name | Joseph Gregory Saiz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366189771 PECOS PAC ID: 8921477621 Enrollment ID: I20221219001764 |
| Provider Name | Victoria Perez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053933804 PECOS PAC ID: 8527481084 Enrollment ID: I20230119002160 |
| Provider Name | Dylan Holovach |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891360129 PECOS PAC ID: 7214394568 Enrollment ID: I20230601001872 |
| Provider Name | Ryan J Brewer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558053157 PECOS PAC ID: 6305204025 Enrollment ID: I20230627003491 |
| Provider Name | Madison Bourgois |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326730276 PECOS PAC ID: 0244691160 Enrollment ID: I20230725002295 |
| Provider Name | Christian Chavez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720764103 PECOS PAC ID: 6103288618 Enrollment ID: I20230816000512 |
| Provider Name | Samantha Hatfield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992137392 PECOS PAC ID: 1052856960 Enrollment ID: I20240716002179 |
| Provider Name | Marcus Salazar Cordova |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255996989 PECOS PAC ID: 7113466764 Enrollment ID: I20240827001693 |
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