IndividualActive
Michael Bishop, DPT, C-PS
NPI 1003483603 · Physical Therapy Clinic/Center · Las Vegas, NM
Provider details
- NPI number
- 1003483603
- Entity type
- Individual
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Credential
- DPT, C-PS
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT4085 (NM)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
601 E Lincoln St
Las Vegas, NM 87701-4502
Phone: (505) 425-2998
Fax: (505) 425-2897
Street-level locationGet directions
Mailing address
9016 Riato Ave
Albuquerque, NM 87121
Registry dates
- Enumerated
- 2021-06-10
- Last updated
- 2021-06-10
- Certified
- 2021-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.