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SANTA FE SPORTS MEDICINE AND REHAB NPI 1396124517


NPI Information

NPI: 1396124517
Provider Name: SANTA FE SPORTS MEDICINE AND REHAB
Classification: Clinic/Center - 261QP2000X
Entity Type: Organization

Specialization: Physical Therapy

CLIA Number: 32D2019672

Address:
104 OLD LAS VEGAS HWY
SUITE C
SANTA FE, NM
ZIP 87505
Phone: (505) 992-4995
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SANTA FE SPORTS MEDICINE AND REHAB is a physical therapy clinic center in Santa Fe, NM. The provider is an entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance. SANTA FE SPORTS MEDICINE AND REHAB NPI is 1396124517. The provider is registered as an organization entity type.

The provider's business location address is:

104 OLD LAS VEGAS HWY
SUITE C
SANTA FE, NM
ZIP 87505
Phone: (505) 992-4995
Fax: (505) 992-4985

The provider's authorized official is Candace Ruth Kenyon .
The authorized official title is Owner and has the following contact phone number (505) 992-4995.

The CLIA number assigned to this NPI record is 32D2019672 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2015 and was last updated on 5/20/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2000XClinic/CenterPhysical Therapy4090NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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