Healthcare Provider Details

I. General information

NPI: 1265349922
Provider Name (Legal Business Name): ALEXANDER JOSE MONTOYA PT,DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2445 MISSOURI AVE STE A
LAS CRUCES NM
88001-5111
US

IV. Provider business mailing address

2445 MISSOURI AVE STE A
LAS CRUCES NM
88001-5111
US

V. Phone/Fax

Practice location:
  • Phone: 575-523-8080
  • Fax: 575-523-8861
Mailing address:
  • Phone: 575-523-8080
  • Fax: 575-523-8861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT-2026-0265
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: