Organization Active NPI

Chris Wismer PT GCFP LLC

  • Physical Therapist
  • Santa Fe, NM
National Provider Identifier
1265772271
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1265 Issued in NM
Legal business name
CHRIS WISMER PT GCFP LLC
Practice address
230 S Saint Francis Dr Ste 5
Santa Fe, NM 87501-2456
Phone
(505) 231-3361
Fax
(505) 989-1740
NPI assigned
Feb 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Ms. Christine F Wismer, PTNPI 1679671069
Title
Owner
Phone
(505) 231-3361

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1265 NM Primary

Addresses

Primary practice location

230 S Saint Francis Dr Ste 5
Santa Fe, NM 87501-2456

Mailing address

29 Domingo Rd
Santa Fe, NM 87508-8256
Phone (505) 231-3361

Other identifiers 1

IdentifierTypeStateIssuer
20578521MedicaidNM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1265772271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 DOMINGO RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875088256",
            "telephone_number": "505-231-3361",
            "fax_number": "505-466-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S SAINT FRANCIS DR STE 5",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012456",
            "telephone_number": "505-231-3361",
            "fax_number": "505-989-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS WISMER PT GCFP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "WISMER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-231-3361",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "1265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20578521",
            "state": "NM"
        }
    ],
    "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 Feb 27, 2013; 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.