Individual provider Active NPI

Samuel Mark Zulueta Galarpe Jr.

  • Physical Therapist
  • Belen, NM
National Provider Identifier
1205215852
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4615 Issued in NM
Practice address
1831 Camino del Llano
Belen, NM 87002
Phone
(954) 593-5580
NPI assigned
May 28, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 4615 NM Primary

Addresses

Primary practice location

1831 Camino del Llano
Belen, NM 87002

Mailing address

1020 W Aragon Rd Apt B37
Belen, NM 87002-2946
Phone (954) 593-5580

Other practice location 1

1580 Sawgrass Corporate Pkwy Ste #100
Sunrise, FL 33323
Phone (954) 332-4445

Other practice location 2

1020 W Aragon Rd Apt B37
Belen, NM 87002-2946
Phone (954) 593-5580

Other identifiers 1

IdentifierTypeStateIssuer
1205215852OtherNA

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4615NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medpro Healthcare Staffing Past Accepting new patients

Organizations & group practices 1

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": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1205215852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 W ARAGON RD APT B37",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870022946",
            "telephone_number": "954-593-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 CAMINO DEL LLANO",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "87002",
            "telephone_number": "954-593-5580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1580 Sawgrass Corporate Pkwy Ste #100",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "33323",
            "country_code": "US",
            "telephone_number": "954-332-4445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 W Aragon Rd Apt B37",
            "address_purpose": "LOCATION",
            "city": "Belen",
            "state": "NM",
            "postal_code": "870022946",
            "country_code": "US",
            "telephone_number": "954-593-5580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALARPE",
        "first_name": "SAMUEL MARK",
        "middle_name": "ZULUETA",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-28",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "1205215852",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belen, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.