Physical Therapy & Sports Medicine of Northern New Mexico, Inc.
NPI 1306069224 · Physical Therapist · Aztec, NM
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Physical Therapy & Sports Medicine of Northern New Mexico, Inc. is a Physical Therapist organization in Aztec, NM (NPI 1306069224).
Provider details
- NPI number
- 1306069224
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Sid Mosiman, Director(505) 334-9616
- License
- 108 (NM)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 660 E Broadway AveBloomfield, NM 87413-6601Phone: (505) 632-4550Fax: (505) 632-3387
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2025-10-07
- Certified
- 2025-10-07
Frequently asked questions
- What is Physical Therapy & Sports Medicine of Northern New Mexico, Inc.'s NPI number?
- Physical Therapy & Sports Medicine of Northern New Mexico, Inc.'s National Provider Identifier (NPI) is 1306069224, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Physical Therapy & Sports Medicine of Northern New Mexico, Inc.?
- Physical Therapy & Sports Medicine of Northern New Mexico, Inc. is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Physical Therapy & Sports Medicine of Northern New Mexico, Inc. located?
- Physical Therapy & Sports Medicine of Northern New Mexico, Inc.'s practice location on file with NPPES is 505 N Main Ave, Aztec, NM 87410-1942.
- What is Physical Therapy & Sports Medicine of Northern New Mexico, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Physical Therapy & Sports Medicine of Northern New Mexico, Inc. is (505) 334-9616.
- Does Physical Therapy & Sports Medicine of Northern New Mexico, Inc. accept Medicare?
- Physical Therapy & Sports Medicine of Northern New Mexico, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Physical Therapy & Sports Medicine of Northern New Mexico, Inc.?
- The authorized official listed on Physical Therapy & Sports Medicine of Northern New Mexico, Inc.'s NPPES record is Sid Mosiman, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Physical Therapy & Sports Medicine of Northern New Mexico, Inc.'s NPI active?
- Yes — Physical Therapy & Sports Medicine of Northern New Mexico, Inc.'s NPI (1306069224) is active in the NPPES registry as of the last update on 2025-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.