PHYSICAL THERAPY & SPORTS MEDICINE OF NORTHERN NEW MEXICO, INC.
NPI 1306069224
Physical Therapist in Aztec, NM
About Physical Therapy & Sports Medicine Of Northern New Mexico, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHYSICAL THERAPY & SPORTS MEDICINE OF NORTHERN NEW MEXICO, INC. (NPI 1306069224) is a healthcare organization registered as a physical therapist in Aztec, New Mexico and active in the NPI registry since April 2007. The organization maintains a secondary practice location in Bloomfield and lists Sid Mosiman, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
- 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.
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Physical Therapy & Sports Medicine Of Northern New Mexico, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Physical Therapy & Sports Medicine Of Northern New Mexico, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Physical Therapy & Sports Medicine Of Northern New Mexico, Inc.'s NPI number?
The NPI number for Physical Therapy & Sports Medicine Of Northern New Mexico, Inc. is 1306069224. It was assigned to this organization in the NPPES registry on April 10, 2007.
Where is Physical Therapy & Sports Medicine Of Northern New Mexico, Inc. located?
Physical Therapy & Sports Medicine Of Northern New Mexico, Inc. is located at 505 N Main Ave, Aztec, NM 87410. The listed phone number is (505) 334-9616.
What is Physical Therapy & Sports Medicine Of Northern New Mexico, Inc.'s specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Physical Therapy & Sports Medicine Of Northern New Mexico, Inc. enrolled in Medicare?
Yes. Physical Therapy & Sports Medicine Of Northern New Mexico, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Physical Therapy & Sports Medicine Of Northern New Mexico, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Physical Therapy & Sports Medicine Of Northern New Mexico, 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Physical Therapy & Sports Medicine Of Northern New Mexico, Inc. was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.