Provider Demographics
NPI:1538266812
Name:MCGHEE THERAPY INC.
Entity type:Organization
Organization Name:MCGHEE THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGHEE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:505-982-8561
Mailing Address - Street 1:12 ARTISAN LN
Mailing Address - Street 2:UNIT B
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-3223
Mailing Address - Country:US
Mailing Address - Phone:505-982-8561
Mailing Address - Fax:505-989-1740
Practice Address - Street 1:12 ARTISAN LN
Practice Address - Street 2:UNIT B
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-3223
Practice Address - Country:US
Practice Address - Phone:505-982-8561
Practice Address - Fax:505-989-1740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM58123822Medicaid
NM600521021Medicare PIN