NPIMap

Organization Active NPI

Corephysio, LLC

  • Physical Therapy Clinic/Center
  • Santa Fe, NM
National Provider Identifier
1225547706
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1833 Issued in NM
Legal business name
COREPHYSIO, LLC
Practice address
1850 Old Pecos Trail
Suite H
Santa Fe, NM 87505-4760
Phone
(505) 983-2673
Fax
(505) 832-3321
NPI assigned
Sep 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Frank Vernon Hatch, PTNPI 1205836210
Title
Owner
Phone
(505) 983-2673

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1833 NM Primary

Addresses

Primary practice location

1850 Old Pecos Trail
Suite H
Santa Fe, NM 87505-4760

Mailing address

1850 Old Pecos TRL Ste H
Santa Fe, NM 87505-4760
Phone (505) 983-2673

National Provider Directory

National Provider Directory

Locations

1850 Old Pecos Trl
Ste H
Santa Fe, NM 87505
Phone (505) 983-2673

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225547706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 OLD PECOS TRL STE H",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054760",
            "telephone_number": "505-983-2673",
            "fax_number": "505-832-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 OLD PECOS TRAIL",
            "address_2": "SUITE H",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054760",
            "telephone_number": "505-983-2673",
            "fax_number": "505-832-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREPHYSIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "VERNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-983-2673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NM",
            "license": "1833",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 21, 2022; 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.