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LOVELACE UNM OUTPATIENT REHABILITATION AT JEMEZ PUEBLO
NPI 1104357003
Speech-Language Pathologist in Jemez Pueblo, NM

Active since March 22, 2017
129 A CANAL STREET, JEMEZ PUEBLO, NM 87024(575) 834-9168(575) 834-0238 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lovelace Unm Outpatient Rehabilitation At Jemez Pueblo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOVELACE UNM OUTPATIENT REHABILITATION AT JEMEZ PUEBLO (NPI 1104357003) is a healthcare organization registered as a speech-language pathologist in Jemez Pueblo, New Mexico and active in the NPI registry since March 2017. The organization lists Stephen C Petrovich, Evp, as its authorized official.

NPPES Registry Identity

NPI1104357003
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameLOVELACE UNM REHABILITATION HOSPITAL LLC
Location Address129 A CANAL STREETJemez Pueblo, NM 87024
Mailing Address1 Burton Hills Blvd, Suite 250Nashville, TN 37215-6293 · (615) 296-3000 · Fax (615) 296-6227
Phone(575) 834-9168
Fax(575) 834-0238
Organization SubpartYesParent: Ardenth Health Partners Llc
Authorized OfficialStephen C PetrovichEvp · (615) 296-3000
Enumeration DateMarch 22, 2017
✔ NPI 1104357003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
129 A CANAL STREET, Jemez Pueblo, NM 87024
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Other Names 1

Doing Business AsLovelace Unm Outpatient Rehabilitation At Jemez Pueblo

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lovelace Unm Outpatient Rehabilitation At Jemez Pueblo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

36

Medicare enrollment records show 36 clinicians reassign Medicare billing to Lovelace Unm Outpatient Rehabilitation At Jemez Pueblo, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Physical Therapist in Private Practice12
Physical Medicine and Rehabilitation10
Occupational Therapist in Private Practice6
Nurse Practitioner3
Anesthesiology2
Internal Medicine1
Interventional Pain Management1
Pain Management1

Nearest to this location (20)

See all 36
Donna Trzcienski, DPT
Physical Therapist in Private Practice
NPI 1316552508
111 RIO RANCHO BLVD SE
Rio Rancho, NM 87124
(505) 727-4950
✔ Accepts Medicare25 mi
Lyn Dawson, CNP
Nurse Practitioner
NPI 1568643146
914 PINEHURST RD SE SUITE 102
Rio Rancho, NM 87124
(505) 896-9412
✔ PECOS✔ Accepts Medicare25 mi
Joshu Raiten, M.D.
Physical Medicine and Rehabilitation
NPI 1154565539
4824 MCMAHON BLVD NW STE 109
Albuquerque, NM 87114
(505) 588-7246
✔ PECOS✔ Accepts Medicare28 mi
Richard Radecki, MD
Physical Medicine and Rehabilitation
NPI 1184682569
3874 MASTHEAD NE BLDG G
Albuquerque, NM 87109
(505) 338-2077
✔ PECOS31 mi
Craig Nairn, M.D.
Interventional Pain Management
NPI 1669495834
8080 ACADEMY RD NE SUITE A
Albuquerque, NM 87111
(505) 247-9700
✔ PECOS33 mi
Thomas Whalen, M.D.
Anesthesiology
NPI 1134120645
3311 CANDELARIA RD NE STE K
Albuquerque, NM 87107
(505) 246-9190
✔ PECOS34 mi
Lisa Allison, OT
Occupational Therapist in Private Practice
NPI 1184904203
505 ELM ST NE
Albuquerque, NM 87102
(505) 727-4725
36 mi
Davynne Burr, DPT
Physical Therapist in Private Practice
NPI 1215486923
505 ELM ST NE
Albuquerque, NM 87102
(505) 727-4927
✔ Accepts Medicare36 mi
Craig Charlton, OTR/L
Occupational Therapist in Private Practice
NPI 1679258792
505 ELM ST NE
Albuquerque, NM 87102
(505) 727-4725
✔ Accepts Medicare36 mi
Teriann Chavez, PT
Physical Therapist in Private Practice
NPI 1407922818
505 ELM ST NE
Albuquerque, NM 87102
(505) 727-4721
✔ Accepts Medicare36 mi
Michael Freeman, P.T.
Physical Therapist in Private Practice
NPI 1285917666
505 ELM ST NE
Albuquerque, NM 87102
(717) 437-3312
✔ Accepts Medicare36 mi
Wilfred Lovato, P.T.
Physical Therapist in Private Practice
NPI 1326126889
505 ELM ST NE
Albuquerque, NM 87102
(505) 727-3829
✔ Accepts Medicare36 mi
Sean Miyaki Lopez, MOT
Occupational Therapist in Private Practice
NPI 1356059059
505 ELM ST NE
Albuquerque, NM 87102
(505) 727-3601
✔ Accepts Medicare36 mi
Nisu Salvio
Occupational Therapist in Private Practice
NPI 1366931099
505 ELM ST NE
Albuquerque, NM 87102
(505) 727-4725
36 mi
Steven Cen, DO
Physical Medicine and Rehabilitation
NPI 1275162513
500 WALTER ST NE STE 500
Albuquerque, NM 87102
(505) 727-7177
✔ PECOS✔ Accepts Medicare36 mi
Zackery Billington, DO
Physical Medicine and Rehabilitation
NPI 1619470416
500 WALTER ST NE STE 500
Albuquerque, NM 87102
(505) 727-3840
✔ PECOS✔ Accepts Medicare36 mi
Melissa Merhege
Pain Management
NPI 1003111873
500 WALTER ST NE STE 213
Albuquerque, NM 87102
(505) 727-7177
✔ PECOS✔ Accepts Medicare36 mi
Kyle Schoenberger, NP
Nurse Practitioner
NPI 1023134863
500 WALTER ST NE STE 213
Albuquerque, NM 87102
(505) 727-7177
✔ PECOS✔ Accepts Medicare36 mi
Michael Malizzo, MD
Anesthesiology
NPI 1538182647
2901 TRANSPORT ST SE
Albuquerque, NM 87106
(505) 262-7724
✔ PECOS38 mi
Christopher Burton
Internal Medicine
NPI 1508353525
MSC10 5615 1 UNIVERSITY OF NEW MEXICO
Albuquerque, NM 87131
(505) 925-7569
✔ PECOS✔ Accepts Medicare43 mi
See all 36 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lovelace Unm Rehabilitation Hospital LLC's NPI number?

The NPI number for Lovelace Unm Rehabilitation Hospital LLC is 1104357003. It was assigned to this organization in the NPPES registry on March 22, 2017. The provider is doing business as Lovelace Unm Outpatient Rehabilitation At Jemez Pueblo.

Where is Lovelace Unm Rehabilitation Hospital LLC located?

Lovelace Unm Rehabilitation Hospital LLC is located at 129 A Canal Street, Jemez Pueblo, NM 87024. The listed phone number is (575) 834-9168.

What is Lovelace Unm Rehabilitation Hospital LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Lovelace Unm Rehabilitation Hospital LLC enrolled in Medicare?

Yes. Lovelace Unm Rehabilitation Hospital LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lovelace Unm Rehabilitation Hospital LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 8 Medicare specialties reassign their Medicare billing to Lovelace Unm Rehabilitation Hospital LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (12), Physical Medicine and Rehabilitation (10) and Occupational Therapist in Private Practice (6). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lovelace Unm Rehabilitation Hospital LLC was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.