Individual provider · Type 1 NPI

Tina M. Vallejos

Physical Therapy Assistant · Socorro, NM

NPI number 1114855491 Active

Practice location

1202 Highway 60
Socorro, NM 87801-3914

Mailing address

11623 Arbor St Ste 200
Omaha, NE 68144-2991

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPT-2026-0109 (NM)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1114855491

Tina M. Vallejos's National Provider Identifier is 1114855491, issued on May 8, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Socorro, NM. The record was last updated on May 8, 2026.