Provider Demographics
NPI:1790811826
Name:BUSY BODIES PHYSICAL THERAPY INC.
Entity Type:Organization
Organization Name:BUSY BODIES PHYSICAL THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:W
Authorized Official - Last Name:O'NEILL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:505-450-4866
Mailing Address - Street 1:25 TECOLOTE RD
Mailing Address - Street 2:
Mailing Address - City:TIJERAS
Mailing Address - State:NM
Mailing Address - Zip Code:87059-7446
Mailing Address - Country:US
Mailing Address - Phone:505-450-4866
Mailing Address - Fax:505-286-9033
Practice Address - Street 1:25 TECOLOTE RD
Practice Address - Street 2:
Practice Address - City:TIJERAS
Practice Address - State:NM
Practice Address - Zip Code:87059-7446
Practice Address - Country:US
Practice Address - Phone:505-450-4866
Practice Address - Fax:505-286-9033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM986225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM000A0249Medicaid