Provider Demographics
NPI:1033247499
Name:SOMETHING'S MOVING, INC.
Entity Type:Organization
Organization Name:SOMETHING'S MOVING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT, TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:505-345-3909
Mailing Address - Street 1:PO BOX 6248
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87197-6248
Mailing Address - Country:US
Mailing Address - Phone:505-345-3909
Mailing Address - Fax:505-345-0099
Practice Address - Street 1:6902 4TH ST NW
Practice Address - Street 2:SUITE A
Practice Address - City:LOS RANCHOS
Practice Address - State:NM
Practice Address - Zip Code:87107-6138
Practice Address - Country:US
Practice Address - Phone:505-345-3909
Practice Address - Fax:505-345-0099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2010-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2875225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARAZ0446800OtherBCBSAZ FOR SOMETHING'S MO
ARAZ0446800OtherBCBSAZ FOR SOMETHING'S MO
NM400521209Medicare ID - Type UnspecifiedGROUP NUMBER