Southwest Sport and Spine Center Inc
NPI 1164475208ActiveOrganization· Physical Therapist· Las Cruces, NM
Physical Therapist in Las Cruces, New Mexico, registered in NPPES in May 2006. The authorized official on file is Laurie Denise Campbell, PT, Director. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1164475208 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2006 |
| Last updated in NPPES | May 8, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NM); Part B Supplier - Clinic/Group Practice (TX) |
|---|
Other Physical Therapist providers in Las Cruces
- 1013658996
- 1174719546
- 1285267849
- 1437674264
- 1811395387
- 1902495740
- 1780841585
- 1265318976
- 1720474588
- 1588744189
- 1508111311
- 1881348100