Provider Demographics
NPI:1326460692
Name:MOUNTAIN VIEW THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:MOUNTAIN VIEW THERAPY SERVICES, LLC
Other - Org Name:MOUNTAIN VIEW THERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:S
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-480-6463
Mailing Address - Street 1:9108 SURREY RD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-6802
Mailing Address - Country:US
Mailing Address - Phone:505-480-6463
Mailing Address - Fax:505-508-1406
Practice Address - Street 1:6100 JEFFERSON ST NE STE A
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-3493
Practice Address - Country:US
Practice Address - Phone:505-948-4555
Practice Address - Fax:505-508-1406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-06
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty