| Lovelace Unm Rehabilitation Hospital Llc | |
|
505 Elm St Ne Albuquerque NM 87102 | |
| (505) 727-4700 | |
| (505) 727-4752 |
| Full Name | Lovelace Unm Rehabilitation Hospital Llc |
|---|---|
| Speciality | Rehabilitation Hospital |
| Location | 505 Elm St Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Stephen C Petrovich (EVP) |
| Authorized Official Contact | 6152963000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lovelace Unm Rehabilitation Hospital Llc 1 Burton Hills Blvd Suite 250 Nashville TN 37215-6293 Ph: (615) 296-3000 | Lovelace Unm Rehabilitation Hospital Llc 505 Elm St Ne Albuquerque NM 87102 Ph: (505) 727-4700 |
| NPI Number | 1700325677 |
|---|---|
| Provider Enumeration Date | 02/13/2017 |
| Last Update Date | 09/11/2018 |
| Medicare PECOS PAC ID | 5799061917 |
|---|---|
| Medicare Enrollment ID | O20170424000991 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700325677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 283X00000X | Rehabilitation Hospital | (* (Not Available)) | Primary |
| Provider Name | Richard T Radecki |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184682569 PECOS PAC ID: 7214849694 Enrollment ID: I20031106000709 |
| Provider Name | Thomas J Whalen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134120645 PECOS PAC ID: 5799683207 Enrollment ID: I20031222000538 |
| Provider Name | Craig Stephen Nairn |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1669495834 PECOS PAC ID: 8426045261 Enrollment ID: I20040428000682 |
| Provider Name | Michael Malizzo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538182647 PECOS PAC ID: 4880679117 Enrollment ID: I20040622000016 |
| Provider Name | Julie A Muche |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033116298 PECOS PAC ID: 5991766552 Enrollment ID: I20041117000238 |
| Provider Name | Lyn A Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568643146 PECOS PAC ID: 0749368835 Enrollment ID: I20080415000173 |
| Provider Name | Kyle I Schoenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023134863 PECOS PAC ID: 5193813749 Enrollment ID: I20090325000366 |
| Provider Name | Wilfred M Lovato |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326126889 PECOS PAC ID: 4385808096 Enrollment ID: I20120608000442 |
| Provider Name | Lisa Y Allison |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184904203 PECOS PAC ID: 7416112693 Enrollment ID: I20120713000506 |
| Provider Name | Joshu A Raiten |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154565539 PECOS PAC ID: 1153540133 Enrollment ID: I20140924001696 |
| Provider Name | Janelle R Jackson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497155816 PECOS PAC ID: 3577856400 Enrollment ID: I20160729000340 |
| Provider Name | Michael S Freeman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285917666 PECOS PAC ID: 8729376587 Enrollment ID: I20161011000411 |
| Provider Name | Melissa A Merhege |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1003111873 PECOS PAC ID: 0244547636 Enrollment ID: I20170105000078 |
| Provider Name | Rebecca A Dutton |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770849366 PECOS PAC ID: 9638456866 Enrollment ID: I20170426000139 |
| 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 | Gwen N Lacerda |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1396060851 PECOS PAC ID: 1153542071 Enrollment ID: I20170901000966 |
| Provider Name | Teriann Chavez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407922818 PECOS PAC ID: 1052656261 Enrollment ID: I20181217001565 |
| Provider Name | Lindsey F Borders |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144671157 PECOS PAC ID: 3476898172 Enrollment ID: I20181228000847 |
| Provider Name | Megan Elizabeth Bonini |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588217855 PECOS PAC ID: 1658782073 Enrollment ID: I20201116001328 |
| Provider Name | Davynne Burr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215486923 PECOS PAC ID: 9638580780 Enrollment ID: I20201123001007 |
| Provider Name | Donna Edith Trzcienski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316552508 PECOS PAC ID: 1254742018 Enrollment ID: I20201130001386 |
| Provider Name | Nisu Salvio |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366931099 PECOS PAC ID: 9436548518 Enrollment ID: I20211110002661 |
| Provider Name | James Schlavin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689335408 PECOS PAC ID: 1456731041 Enrollment ID: I20220628003700 |
| Provider Name | Ariana Hansen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386025054 PECOS PAC ID: 9032590336 Enrollment ID: I20220718003031 |
| Provider Name | William Austin Davis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285024737 PECOS PAC ID: 2365711652 Enrollment ID: I20221028002384 |
| Provider Name | Christopher Patrick Burton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508353525 PECOS PAC ID: 7911256045 Enrollment ID: I20221108001186 |
| Provider Name | Emily Kristine Olson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306185442 PECOS PAC ID: 7416347976 Enrollment ID: I20221202001020 |
| Provider Name | Elyse Grant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225745292 PECOS PAC ID: 1759750276 Enrollment ID: I20221205003288 |
| Provider Name | Sean Miyaki Lopez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356059059 PECOS PAC ID: 1850760885 Enrollment ID: I20221213002154 |
| Provider Name | Zackery Billington |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1619470416 PECOS PAC ID: 3577812403 Enrollment ID: I20230621001057 |
| Provider Name | Craig Charlton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679258792 PECOS PAC ID: 0749644037 Enrollment ID: I20230920000981 |
| Provider Name | Kristy Inez Gronseth |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598098352 PECOS PAC ID: 0749679280 Enrollment ID: I20231222000375 |
| Provider Name | Carley Medina |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043049992 PECOS PAC ID: 4183162241 Enrollment ID: I20240820003224 |
| Provider Name | Christopher Meserve |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1619400967 PECOS PAC ID: 0547533218 Enrollment ID: I20241031001176 |
| Provider Name | Taylor Victoria Bussell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326785023 PECOS PAC ID: 1456727023 Enrollment ID: I20241127000128 |
| Provider Name | Steven Cen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275162513 PECOS PAC ID: 3375969389 Enrollment ID: I20241205000798 |
| Provider Name | Kali Rae Beck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659110393 PECOS PAC ID: 0749721611 Enrollment ID: I20250304002056 |
Double Happiness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4104 Ponderosa Ave Ne, Albuquerque, NM 87110 Phone: 505-385-4127 Fax: 505-265-5041 | |
Ortega Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7007 Jefferson St Ne Ste C, Albuquerque, NM 87109 Phone: 505-340-0406 Fax: 505-340-0405 | |
Albuquerque Internal Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4121 Montgomery Blvd Ne, Albuquerque, NM 87109 Phone: 505-314-0748 | |
Gabriella Good Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3015 Indian Farm Ln Nw, Albuquerque, NM 87107 Phone: 505-259-8694 Fax: 186-660-7177 | |
Hands On Health Care, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3825 Eubank Blvd Ne Ste C, Albuquerque, NM 87111 Phone: 505-298-8020 | |
Maranllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10401 Montgomery Pkwy Ne, Albuquerque, NM 87111 Phone: 505-234-1040 Fax: 505-293-7183 | |
Lovelace Healthcare Center-rio Bravo Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Rio Bravo Blvd Se, Albuquerque, NM 87105 Phone: 505-873-6400 Fax: 505-873-6403 |