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ANGEL FIRE PHYSICAL THERAPY
NPI 1659689347
Physical Therapist - Orthopedic in Angel Fire, NM

Active since September 16, 2010
12 CRESTVIEW DRIVE, STE 1S, ANGEL FIRE, NM 87710(575) 377-1900(575) 377-2383 Get Directions Write a Review

NPPES record last updated: September 16, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Angel Fire Physical Therapy NPPES

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

ANGEL FIRE PHYSICAL THERAPY (NPI 1659689347) is a healthcare organization registered as an orthopedic in Angel Fire, New Mexico and active in the NPI registry since September 2010. The organization lists Jocelyn Lucero, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1659689347
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameTAOS SPORTS MEDICINE SERICES LLC
Location Address12 CRESTVIEW DRIVE, STE 1SAngel Fire, NM 87710-0489
Mailing Address1398 Weimer Rd, Ste 203Taos, NM 87571-6397 · (575) 737-0304 · Fax (575) 737-0383
Phone(575) 377-1900
Fax(575) 377-2383
Organization SubpartYesParent: Taos Sports Medicine Services, Llc
Authorized OfficialJocelyn LuceroOffice Manager · (575) 737-0304
Enumeration DateSeptember 16, 2010
✔ NPI 1659689347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in NM · 3072B1
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
12 CRESTVIEW DRIVE, Angel Fire, NM 87710
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Other Names 1

Doing Business AsAngel Fire Physical Therapy

Other Identifiers 2

Other700521047NM · Medicare Group Ptan
Medicaid43383386NM

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 SINGLE SPECIALTY GROUP

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 Taos Sports Medicine Serices LLC's NPI number?

The NPI number for Taos Sports Medicine Serices LLC is 1659689347. It was assigned to this organization in the NPPES registry on September 16, 2010. The provider is doing business as Angel Fire Physical Therapy.

Where is Taos Sports Medicine Serices LLC located?

Taos Sports Medicine Serices LLC is located at 12 Crestview Drive Ste 1S, Angel Fire, NM 87710. The listed phone number is (575) 377-1900.

What is Taos Sports Medicine Serices LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Taos Sports Medicine Serices LLC was last updated on September 16, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.