Active NPI
Chris Wismer PT GCFP LLC
- Physical Therapist
- Santa Fe, NM
National Provider Identifier
1265772271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1265
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Christine F Wismer, PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20578521 | Medicaid | NM |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Physical Therapist
- Santa Fe, NM
- NPI 1679671069
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.