Healthcare Provider Details

I. General information

NPI: 1205745296
Provider Name (Legal Business Name): FLOREBIT PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1336 WYOMING BLVD NE FL 2
ALBUQUERQUE NM
87112-5066
US

IV. Provider business mailing address

1336 WYOMING BLVD NE FL 2
ALBUQUERQUE NM
87112-5066
US

V. Phone/Fax

Practice location:
  • Phone: 505-328-3883
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MEGAN WONG
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: DPT
Phone: 505-328-3883