| Organization Name: | PARADIGM PHYSICAL THERAPY AND WELLNESS INC |
| NPI Number: | 1245380039 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONALD J. SANCHEZ (OWNER / PRESIDENT) |
| Mailing Address: | 240 S. Camino Del Pueblo, Suite G Bernalillo |
| State: | NM US |
| Postal Code: | 870045925 |
| Phone Number: | 5057712447 |
| Fax Number: | 5057712360 |
| NPI Enumeration Date: | 01/12/2007 |
| NPI Last Update Date: | 12/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 2646 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |