Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Carol Addis, MSPT

Individual provider Physical Therapist · NPI 1922047620

Jacqueline Carol Addis, MSPT is a Physical Therapist in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
In the registry since
2006

Practice location Address checks out

Vamc 1501 San Pedro Dr NE
Albuquerque, NM 87105
Phone: (505) 265-1711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 963 (NM)

Record details

NPI number1922047620
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPT
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESJuly 8, 2007

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