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NPI Code Detail

MEDICARE: ADVANCED THERAPY SOLUTIONS, LLC

MEDICARE: ADVANCED THERAPY SOLUTIONS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant
2235Z00000XSpeech-Language Pathologist
3225100000XPhysical Therapist
4224Z00000XOccupational Therapy Assistant
5225X00000XOccupational Therapist

General Provider Information

NPI Number : 1063929446
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED THERAPY SOLUTIONS, LLC
Provider Business Mailing Address
First Line : PO BOX 8188
Second Line :
City : ROSWELL
State : NM
Zip : 88202-8188
Country : US
Telephone Number : 575-840-3879
Fax Number : 866-337-2718
Provider Business Practice Location Address
First Line : 613 W 2ND ST STE 1-5
Second Line :
City : ROSWELL
State : NM
Zip : 88201-4671
Country : US
Telephone Number : 575-840-3879
Fax Number : 866-337-2718
Authorized Official
Title or Position : VP OF OPERATIONS
Name : MR. FRANCISCO CASIO BICOL JR.
Credential : OTR/L
Telephone Number : 575-840-3879
Provider Enumeration Date : 01/06/2018
Last Update Date : 04/10/2026

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Directions to “ADVANCED THERAPY SOLUTIONS, LLC ” Practice Location

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