Eldorado Physical Therapy PC

Organization Active NPI Physical Therapist · Santa Fe, NM

NPI 1124178728 · NPPES record last updated Jul 1, 2010

Key facts

NPI
1124178728
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
License
13024 (NM)
Legal business name
ELDORADO PHYSICAL THERAPY PC
Practice address
3 Caliente Rd
Unit 3a
Santa Fe, NM 87508-9209
Phone
(505) 466-2500
Fax
(505) 466-4959
NPI assigned
Jan 12, 2007
Organization subpart
No

Authorized official

Name
Deborah Smick Cook, PT NPI 1942224480
Title
Owner
Phone
(505) 466-2500

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NM

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070323000479 NM Part B Supplier - Clinic/Group Practice 0648374058 Receives reassigned benefits from 4 practitioners
Practice locations: Santa Fe, NM

National Provider Directory

Locations

3 Caliente Rd
Santa Fe, NM 87508
Phone (505) 466-2500

3 Caliente Rd
Ste A3
Santa Fe, NM 87508
Phone (505) 466-2500

7 Avenida Vista Grande
Ste B1
Santa Fe, NM 87508
Phone (505) 466-2500

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X 13024 NM Yes

Addresses

Primary practice location

3 Caliente Rd
Unit 3a
Santa Fe, NM 87508-9209

Mailing address

3 Caliente Rd
Unit 3a
Santa Fe, NM 87508-9209
Phone (505) 466-2500

Other providers in Santa Fe, NM

All providers in Santa Fe, NM · Physical Therapist in New Mexico

Sources for this page

Verify at the official NPI Registry.