Individual provider Active NPI

Virginia R Fretz, OTRN

  • Occupational Therapist
  • Santa Fe, NM
National Provider Identifier
1104826247
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1643 Issued in NM
Practice address
786A N Saint Francis Dr
Santa Fe, NM 87501-5100
Phone
(505) 984-2032
Fax
(505) 984-0738
NPI assigned
Jul 29, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1643 NM Primary

Addresses

Primary practice location

786A N Saint Francis Dr
Santa Fe, NM 87501-5100

Mailing address

223 N Guadalupe St # 223
Santa Fe, NM 87501-1850
Phone (505) 920-9969

Other identifiers 1

IdentifierTypeStateIssuer
1643OtherNMSTATE OF NM REG & LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1643NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Solutions LLC PastSince Nov 15, 2006 Accepting new patients
Turquoise Trail Physical Therapy and Rehabilitation Past Accepting new patients
Turquoise Trail Physical Therapy and Rehabilitation Past Accepting new patients
NM Santa Fe PT Investment LLC PastSince Jun 16, 2023 Accepting new patients
Allcare Physical Therapy LLC PastSince Oct 1, 2003 Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104826247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N GUADALUPE ST # 223",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011850",
            "telephone_number": "505-920-9969",
            "fax_number": "505-984-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786A N SAINT FRANCIS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875015100",
            "telephone_number": "505-984-2032",
            "fax_number": "505-984-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRETZ",
        "first_name": "VIRGINIA",
        "middle_name": "R",
        "credential": "OTRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "1643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NM REG & LIC",
            "identifier": "1643",
            "state": "NM"
        }
    ],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.