Healthcare Provider Details

I. General information

NPI: 1013848902
Provider Name (Legal Business Name): VALERIE LYNN BARGAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2929 COORS BLVD NW # 100
ALBUQUERQUE NM
87120-1173
US

IV. Provider business mailing address

213 TRIMBLE BLVD NE
ALBUQUERQUE NM
87123-2418
US

V. Phone/Fax

Practice location:
  • Phone: 505-836-4899
  • Fax:
Mailing address:
  • Phone: 505-264-3024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPT-2026-0124
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: