Organization
PARADIGM PHYSICAL THERAPY AND WELLNESS INC
Active
Parent organization
PARADIGM PHYSICAL THERAPY AND WELLNESS INC
Other names
Los Lunas Physical Therapy Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARADIGM PHYSICAL THERAPY AND WELLNESS INC
Authorized official
MR. DONALD JOSEPH SANCHEZ PHYSICAL THERAPIST (PRESIDENT/OWNER)
(505) 866-0055
Entity
Organization
Contact information
Practice address
535 US HIGHWAY 314, SW, LOS LUNAS, NM 87031
(505) 866-0055
(505) 866-0057
Mailing address
535 HIGHWAY 314 SW, LOS LUNAS, NM 87031-9600
(505) 866-0055
(505) 866-0057
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
593
NM
261QP2000X
Physical Therapy Clinic/Center
593
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000Q0406
—
NM
01
—
1013214857
VALERIE GUTIERREZ, PT
NM
01
—
1215238910
PATRICK VIGIL NPI
NM
01
—
1245380039
BERNAILLO FACILITY NPI#
NM
01
—
1326062423
STEVE WAGHORN NPI#
NM
01
—
1356491146
BELEN FACILITY NPI
NM
01
—
1417971508
DONALD SANCHEZ NPI#
NM
01
—
149775860
MARIE VALDEZ, PT NPI#
NM
01
—
DC4165
GROUP RR MEDICARE
NM
Enumeration date
08/02/2006
Last updated
11/26/2013
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