Individual provider Active NPI

Virginia Ann Byrd, P.T.

  • Physical Therapist
  • Santa Fe, NM
National Provider Identifier
1073575031
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2941 Issued in NM
Practice address
404 Brunn School Rd
Suite D
Santa Fe, NM 87505-1102
Phone
(505) 983-0670
Fax
(505) 983-0118
NPI assigned
Apr 5, 2006
Last updated
Aug 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2941 NM Primary

Addresses

Primary practice location

404 Brunn School Rd
Suite D
Santa Fe, NM 87505-1102

Mailing address

404 Brunn School Rd Ste D
Santa Fe, NM 87505-1102
Phone (505) 983-0670

Other identifiers 1

IdentifierTypeStateIssuer
482278ZTV8OtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060727000213 NM Practitioner - Physical Therapist in Private Practice 1052301199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Works Physical Therapy LLCGroup PAC ID 7416254446, 7 clinicians

Practice addresses (Care Compare)

404 Brunn School Rd
Suite D
Santa Fe, NM 87505-1102
Phone (505) 983-0670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2941NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Works Physical Therapy LLC Physical Therapist CurrentSince Feb 23, 2016 Accepting new patients
St. Vincent Hospital Past Accepting new patients
Jemez Physical Therapy, PC Past Accepting new patients

Locations

404 Brunn School Rd
Ste D
Santa Fe, NM 87505
Phone (505) 795-3337

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1073575031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 BRUNN SCHOOL RD STE D",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051102",
            "telephone_number": "505-983-0670",
            "fax_number": "505-983-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 BRUNN SCHOOL RD",
            "address_2": "SUITE D",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051102",
            "telephone_number": "505-983-0670",
            "fax_number": "505-983-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "VIRGINIA",
        "middle_name": "ANN",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "482278ZTV8",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.