Healthcare Provider Details

I. General information

NPI: 1609712082
Provider Name (Legal Business Name): EMMA LOMBARDI PHYSICAL THERAPIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 N SONOMA RANCH BLVD STE B
LAS CRUCES NM
88011-7343
US

IV. Provider business mailing address

4400 N SONOMA RANCH BLVD STE B
LAS CRUCES NM
88011-7343
US

V. Phone/Fax

Practice location:
  • Phone: 575-222-0188
  • Fax: 575-642-4142
Mailing address:
  • Phone: 575-222-0188
  • Fax: 575-642-4142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT-2025-0249
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: