Provider Demographics
NPI:1962557652
Name:PARTNERS IN THERAPY, LLC
Entity type:Organization
Organization Name:PARTNERS IN THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECT OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:GRONA
Authorized Official - Last Name:HUSS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:505-890-7481
Mailing Address - Street 1:5115 COORS BLVD NW
Mailing Address - Street 2:STE C
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-1900
Mailing Address - Country:US
Mailing Address - Phone:505-890-7481
Mailing Address - Fax:505-897-6581
Practice Address - Street 1:5115 COORS BLVD NW
Practice Address - Street 2:STE C
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-1900
Practice Address - Country:US
Practice Address - Phone:505-890-7481
Practice Address - Fax:505-897-6581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1020225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM1114022605OtherNPI