RUIDOSO PHYSICAL THERAPY CLINIC, INC
NPI 1265498471
Physical Therapist in Ruidoso, NM

Active since April 25, 2006
439 MECHEM DR, RUIDOSO, NM 88345(575) 257-1800(575) 257-2319 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 10, 2026, Aug 29, 2022 (2 updates tracked since 2022).

About Ruidoso Physical Therapy Clinic, Inc NPPES

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

RUIDOSO PHYSICAL THERAPY CLINIC, INC (NPI 1265498471) is a healthcare organization registered as a physical therapist in Ruidoso, New Mexico and active in the NPI registry since April 2006. The organization maintains a secondary practice location in Capitan and lists Kendall Gill, Owner, as its authorized official.

NPPES Registry Identity

NPI1265498471
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameRUIDOSO PHYSICAL THERAPY CLINIC, INC
Location Address439 MECHEM DRRuidoso, NM 88345-6813
Mailing Address102 Smokey Bear BlvdCapitan, NM 88316 · (575) 257-1800 · Fax (575) 257-2319
Fax(575) 257-2319
Organization SubpartNo
Authorized OfficialKendall GillOwner · (817) 929-1420
Enumeration DateApril 25, 2006
Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1265498471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NM · 1781
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
439 MECHEM DR, Ruidoso, NM 88345

Secondary Practice Location 1

Location 1102 SMOKEY BEAR BLVDCAPITAN, NM 88316 · Phone (575) 257-1800 · Fax (575) 257-2319

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ruidoso Physical Therapy Clinic, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew MexicoEnrollment IDO20050409000000Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ruidoso Physical Therapy Clinic, Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Physical Therapist in Private Practice
NPI 1093260713
711 HILL COUNTRY DR
Kerrville, TX 78028
(830) 896-7377
✔ Accepts Medicare446 mi
Physical Therapist in Private Practice
NPI 1073963641
1021 61ST ST
Galveston, TX 77551
(409) 741-8472
✔ Accepts Medicare699 mi

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 Ruidoso Physical Therapy Clinic, Inc's NPI number?

The NPI number for Ruidoso Physical Therapy Clinic, Inc is 1265498471. It was assigned to this organization in the NPPES registry on April 25, 2006.

Where is Ruidoso Physical Therapy Clinic, Inc located?

Ruidoso Physical Therapy Clinic, Inc is located at 439 Mechem Dr, Ruidoso, NM 88345. The listed phone number is (575) 257-1800.

What is Ruidoso Physical Therapy Clinic, Inc's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Ruidoso Physical Therapy Clinic, Inc enrolled in Medicare?

Yes. Ruidoso Physical Therapy Clinic, Inc is registered in the Medicare PECOS enrollment system.

When is Ruidoso Physical Therapy Clinic, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Mexico, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Ruidoso Physical Therapy Clinic, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Ruidoso Physical Therapy Clinic, Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ruidoso Physical Therapy Clinic, Inc was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.