State of New Mexico
NPI 1124180419ActiveOrganization· Physical Therapist· Las Vegas, NM
Physical Therapist in Las Vegas, New Mexico, registered in NPPES in December 2006. The authorized official on file is Charles R. Jaramillo, Finance Director.
Overview
| NPI | 1124180419 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 14, 2006 |
| Last updated in NPPES | Jun 2, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapy Assistant | 224Z00000X | — | — |
| Physical Therapy Assistant | 225200000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Audiologist | 231H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Therapist providers in Las Vegas
- 1649524117
- 1255503736
- 1427259704
- 1285806406
- 1447268958
- 1205237039
- 1568470995
- 1568852861
- 1720496474
- 1447789763
- 1457481749
- 1477620078