Healthcare Provider Details

I. General information

NPI: 1538865043
Provider Name (Legal Business Name): METHOD PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2023
Last Update Date: 02/21/2023
Certification Date: 02/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3538 ANDERSON AVE SE
ALBUQUERQUE NM
87106-1612
US

IV. Provider business mailing address

410 TULANE DR SE
ALBUQUERQUE NM
87106-1418
US

V. Phone/Fax

Practice location:
  • Phone: 505-615-9381
  • Fax: 505-431-3170
Mailing address:
  • Phone: 505-615-9381
  • 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: NORA JACKELINE QUINTAL CALVA
Title or Position: PHYSICAL THERAPIST AND CO-OWNER
Credential: PT, DPT
Phone: 505-250-8401