Provider Demographics
NPI:1083601967
Name:DEB JONES THERAPIES, INC.
Entity Type:Organization
Organization Name:DEB JONES THERAPIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:J.
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-758-4337
Mailing Address - Street 1:1337 GUSDORF RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:TAOS
Mailing Address - State:NM
Mailing Address - Zip Code:87571-6294
Mailing Address - Country:US
Mailing Address - Phone:575-758-4337
Mailing Address - Fax:575-751-1890
Practice Address - Street 1:1337 GUSDORF RD
Practice Address - Street 2:SUITE G
Practice Address - City:TAOS
Practice Address - State:NM
Practice Address - Zip Code:87571-6294
Practice Address - Country:US
Practice Address - Phone:575-758-4337
Practice Address - Fax:575-751-1890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-05
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM888225X00000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM201079915OtherPRESBYTERIAN PROVIDER #
NMNM00N647OtherBCBS PROVIDER #
NMB4412Medicaid
NM0368860OtherCIGNA PROVIDER #
NM6727950001OtherMEDICARE PTAN FOR DMEPOS
NM10015013OtherLOVELACE PROVIDER #
NM6727950001OtherMEDICARE DMEPOS
NMPROVA21250OtherDEB'S MOLINA #
NM6727950001OtherMEDICARE PTAN FOR DMEPOS