NEW MEXICO SPORTS & PHYSICAL THERAPY (NPI# 1831242999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831242999 |
| Entity Type | Organization |
| Organization Name | NEW MEXICO SPORTS & PHYSICAL THERAPY |
| Practice Address |
1631 Hospital Dr Suite 220 Santa Fe NM 87505-4728 |
| Mailing Address |
2954 Rodeo Park Dr. West Santa Fe NM 87505-4728 |
| Practice Telephone | 5054240131 |
| Practice Fax Number | 5057957073 |
| Mailing Telephone | 5054240131 |
| Mailing Fax Number | 5057957032 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2017-06-15 |
| Authorized Official Name | DINO J PINO (DIRECTOR) |
| Authorized Official Telephone | 5054240131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
6292 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | N4536 | 05 |
| Street Address |
1631 HOSPITAL DR SUITE 220 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-4728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950460 | John A Garcia | Orthopaedic Surgery | 1631 Hospital Dr, Suite 200, Santa Fe, NM 87505-4728 | 2005-05-23 |
| 1528585049 | St Vincent Hospital | Clinic/Center | 1631 Hospital Dr, Santa Fe, NM 87505-4728 | 2017-08-25 |
| 1043622715 | Mary Eileen Rodkey | Nurse Anesthetist, Certified Registered | 1631 Hospital Dr, Santa Fe, NM 87505-4728 | 2014-05-28 |
| 1215375951 | Timothy Mark Candelaria | Nurse Anesthetist, Certified Registered | 1631 Hospital Dr, Santa Fe, NM 87505-4728 | 2013-06-04 |
| 1154607836 | Marek Jaszczuk | Physician Assistant | 1631 Hospital Dr, Suite 200, Santa Fe, NM 87505-4728 | 2011-10-26 |
| 1265611396 | St. Vincent Hospital | Neurological Surgery | 1631 Hospital Dr, Suite 240, Santa Fe, NM 87505-4728 | 2007-10-25 |
| 1962697177 | Leroy Rise | Orthopaedic Surgery | 1631 Hospital Dr, Suite 200, Santa Fe, NM 87505-4728 | 2007-09-11 |
| 1740307347 | St Vincent Hospital | Surgery | 1631 Hospital Dr, Suite 240, Santa Fe, NM 87505-4728 | 2007-03-26 |
| 1679690762 | St. Vincent Hospital | Surgery | 1631 Hospital Dr, Suite 240, Santa Fe, NM 87505-4728 | 2007-03-23 |
| 1215054788 | St. Vincent Hospital | Orthopaedic Surgery | 1631 Hospital Dr, Suite 200, Santa Fe, NM 87505-4728 | 2007-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225547706 | Corephysio, LLC | Clinic/Center | 1850 Old Pecos Trail, Suite H, Santa Fe, NM 87505-4760 | 2017-09-27 |
| 1770960643 | Accelerated Therapy & Wellness, LLC | Clinic/Center | 1418 Luisa St Ste 4, Santa Fe, NM 87505-4091 | 2015-04-30 |
| 1730447582 | Human Performance Center, Inc | Clinic/Center | 825 Early St, Ste G, Santa Fe, NM 87505-1680 | 2012-04-30 |
| 1942326111 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 720 St. Michaels Drive, Suite C, Santa Fe, NM 87505 | 2007-03-21 |
| 1366581795 | Marcia D, Bowman | Clinic/Center | 1121 Vuelta De Las Acequias, Santa Fe, NM 87507-7106 | 2007-02-05 |
| 1285736751 | Therapy Solutions LLC | Clinic/Center | 333 W Cordova Rd, Suite 101, Santa Fe, NM 87505-1850 | 2006-09-03 |
| 1144226473 | The Center for Physical Therapy and Rehabilitation Inc | Clinic/Center | 435 Saint Michaels Dr, Ste A101, Santa Fe, NM 87505-7668 | 2005-06-22 |
| 1760958730 | Gain Physical Therapy LLC | Clinic/Center | 17 Avenida Campo Verde, Santa Fe, NM 87506-0269 | 2018-10-17 |
| 1255714226 | Integration Therapy, LLC | Clinic/Center | 1012 Marquez Pl, Suite 101b, Santa Fe, NM 87505-1834 | 2015-07-08 |
| 1396124517 | Santa Fe Sports Medicine and Rehab | Clinic/Center | 104 Old Las Vegas Hwy, Suite C, Santa Fe, NM 87505 | 2015-05-20 |
| Find all providers in SANTA FE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.