New Mexico Sports & Pt

LBN: New Mexico Sports & Pt
New Mexico Sports & Pt is an health care organization with primary practice located at 2954 Rodeo Park Dr W , Santa Fe NM 87505-6351. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. New Mexico Sports & Pt can be contacted via phone (505) 424-0131, or through Fagan, Thomas H via phone (505) 424-0131.

Contact Information

Primary practice address
2954 Rodeo Park Dr W Santa Fe NM 87505-6351
Phone: (505) 424-0131
Fax: (505) 424-1299
Website:
Map and Directions
Authorized official contact:
Name: Fagan, Thomas H Physical Therapist (PT)
Phone: (505) 424-0131

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 6292 New Mexico

Profile Details

NPI number 1427130137
LBN Legal business name New Mexico Sports & Pt
DBA Doing business as
Authorized official Fagan, Thomas H Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Jun 1st, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427130137 NPPES
New Mexico MEDICAID N4536

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