Organization Active NPI

SF BNPT Acquisition LLC

  • Physical Therapy Clinic/Center
  • Santa Fe, NM
National Provider Identifier
1245030345
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SF BNPT ACQUISITION LLC
Practice address
326 McKenzie St
Santa Fe, NM 87501-1883
Phone
(505) 992-4995
NPI assigned
Mar 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Julie Radley
Title
Member
Phone
(713) 591-2256

Specialties & licenses 1

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

Addresses

Primary practice location

326 McKenzie St
Santa Fe, NM 87501-1883

Mailing address

940 S Kimball Ave Ste 175
Southlake, TX 76092-9024

Other names 1

  • Santa Fe Sports Med & Rehab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251009004176 NM Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6800393224 Receives reassigned benefits from 2 practitioners
Practice locations: Santa Fe, NM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1245030345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 S KIMBALL AVE STE 175",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 MCKENZIE ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011883",
            "telephone_number": "505-992-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SF BNPT ACQUISITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "RADLEY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "713-591-2256"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Fe Sports Med & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.