SANTA FE SPORTS MEDICINE AND REHAB (NPI# 1396124517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396124517 |
| Entity Type | Organization |
| Organization Name | SANTA FE SPORTS MEDICINE AND REHAB |
| Practice Address |
104 Old Las Vegas Hwy Suite C Santa Fe NM 87505 |
| Practice Telephone | 5059924995 |
| Practice Fax Number | 5059924985 |
| Mailing Telephone | 5059924995 |
| Mailing Fax Number | 5059924985 |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |
| Authorized Official Name | CANDACE RUTH KENYON (OWNER) |
| Authorized Official Telephone | 5059924995 |
| Authorized Official Credential | MS,PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
4090 | NM | Ambulatory Health Care Facilities |
| Street Address |
104 OLD LAS VEGAS HWY SUITE C |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316933344 | Sf Sports Med & Rehab Inc | Physical Therapist | 104 Old Las Vegas Hwy, Santa Fe, NM 87505-8199 | 2005-09-26 |
| 1457703662 | Aurora Downs | Physical Therapy Assistant | 104 Old Las Vegas Hwy, Santa Fe, NM 87505 | 2016-07-12 |
| 1093184186 | Sanjay Bardwaj | Physical Medicine & Rehabilitation | 104 Old Las Vegas Hwy, Santa Fe, NM 87505 | 2015-09-18 |
| 1629211586 | Elizabeth R Parker | Physical Therapist | 104 Old Las Vegas Hwy, Santa Fe, NM 87505-8199 | 2009-04-08 |
| 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 |
| 1992198741 | Space for Healing PC | Clinic/Center | 1300 Luisa St, Suite 21, Santa Fe, NM 87505-4204 | 2015-03-17 |
| 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.