Individual provider · Type 1 NPI

Ian Ricardo Gallegos, PTA

Physical Therapy Assistant · Roswell, NM

NPI number 1649639931 Active

Practice location

3200 Mission Arch Dr
Roswell, NM 88201-8307

Call (575) 624-2583 Map

Fax (575) 623-8949

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1601 (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 1649639931

Ian Ricardo Gallegos, PTA's National Provider Identifier is 1649639931, issued on Feb 16, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Roswell, NM. The record was last updated on Nov 1, 2026.