The Center for Physical Therapy and Rehabilitation Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

THE CENTER FOR PHYSICAL THERAPY AND REHABILITATION INC

Doing business as

NovaCare Outpatient Rehabilitation

Practice address

435 Saint Michaels Dr
Ste A101
Santa Fe, NM 87505-7668

Phone

(505) 982-8860

Fax

(505) 989-7204

NPI assigned

Jun 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. David Smith

Title

Ceo

Phone

(916) 782-1212

Specialties & licenses 1

Addresses

Other names 1

• NovaCare Outpatient Rehabilitation Doing business as

Locations

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144226473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 SUNRISE AVE",
            "address_2": "STE 140",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614466",
            "telephone_number": "916-782-1212",
            "fax_number": "916-773-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SAINT MICHAELS DR",
            "address_2": "STE A101",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057668",
            "telephone_number": "505-982-8860",
            "fax_number": "505-989-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR PHYSICAL THERAPY AND REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-782-1212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NovaCare Outpatient Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Tetruealt, SW
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• Nicholas Tharpe, CRM
• Leonard Irwin Thatch, MD
• The Center for Dynamic Practice
• The Food Depot
• The Gold Standard Community Services, Inc
• The Gold Standard Mental Health Institute, P.C
• The Growing Edge of Santa Fe, LLC
• The Human Rights Alliance

• Physical Therapy Clinic/Center in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Physical Therapy Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.