Ruidoso Physical Therapy Clinic, Inc - Medicare Physical Therapist in Ruidoso, NM

Ruidoso Physical Therapy Clinic, Inc is a medicare enrolled "Physical Therapist" provider in Ruidoso, New Mexico. Their current practice location is 439 Mechem Dr, Ruidoso, New Mexico. You can reach out to their office (for appointments etc.) via phone at (575) 257-1800.

Ruidoso Physical Therapy Clinic, Inc is licensed to practice in New Mexico (license number 1781) and it also participates in the medicare program. Ruidoso Physical Therapy Clinic, Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1265498471.

Contact Information

Ruidoso Physical Therapy Clinic, Inc
439 Mechem Dr,
Ruidoso, NM 88345-6813
(575) 257-1800
(575) 257-2319



Healthcare Provider's Profile

Full NameRuidoso Physical Therapy Clinic, Inc
TypeFacility
SpecialityPhysical Therapist
Location439 Mechem Dr, Ruidoso, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265498471
  • Provider Enumeration Date: 04/25/2006
  • Last Update Date: 08/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4082667639
  • Enrollment ID: O20050409000000

Medical Identifiers

Medical identifiers for Ruidoso Physical Therapy Clinic, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265498471NPI-NPPES
000L2933MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 1781 (New Mexico)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ruidoso Physical Therapy Clinic, Inc acts as a billing entity for following providers:
Provider NameLydia C Radosevich
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144236258
PECOS PAC ID: 6002853215
Enrollment ID: I20050409000004

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Provider NameBrandi L Darnold
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821355918
PECOS PAC ID: 1153723028
Enrollment ID: I20210714003350

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Provider NameKendall Gill
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073963641
PECOS PAC ID: 4082002555
Enrollment ID: I20231031003726

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Provider NameTaylor Faust
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093260713
PECOS PAC ID: 5092002329
Enrollment ID: I20231228001581

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ruidoso Physical Therapy Clinic, Inc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ruidoso Physical Therapy Clinic, Inc
439 Mechem Dr,
Ruidoso, NM 88345-6813

Ph: (575) 257-1800
Ruidoso Physical Therapy Clinic, Inc
439 Mechem Dr,
Ruidoso, NM 88345-6813

Ph: (575) 257-1800

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Physical Therapist in Ruidoso, NM

Mrs. Roberta Renee Regalado, M.P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 628 Sudderth Dr, Ruidoso, NM 88345
Phone: 575-257-5820    Fax: 575-257-9560
Mr. Ryan David Biricocchi, MPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 147 Mescalero Trl, Ruidoso, NM 88345
Phone: 505-257-5820    Fax: 505-257-9560
Dana M Wade, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1129 Mechem Dr Ste C, Ruidoso, NM 88345
Phone: 575-808-8721    Fax: 575-808-8723
Mr. Ian Christopher Paul, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 147 Mescalero Trl, Ruidoso, NM 88345
Phone: 575-257-5820    
Lydia C. Radosevich, P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 439 Mechem Dr, Ruidoso, NM 88345
Phone: 505-257-1800    Fax: 505-257-2319
Marla Loree Wall,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 147 Mescalero Trl, Ruidoso, NM 88345
Phone: 575-257-5820    

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