Individual provider Active NPI

Tara M. Sanford, DPT

  • Physical Therapist
  • Albuquerque, NM
National Provider Identifier
1285066506
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4358 Issued in NM
Practice address
7424 Holly Ave. NE
Albuquerque, NM 87113
Phone
(505) 797-5505
Fax
(505) 797-5510
NPI assigned
Aug 9, 2013
Last updated
Aug 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4358 NM Primary

Addresses

Primary practice location

7424 Holly Ave. NE
Albuquerque, NM 87113

Mailing address

8100 Wyoming Blvd NE Ste M4
#261
Albuquerque, NM 87113-1963
Phone (505) 797-5505

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140311000108 NM Practitioner - Physical Therapist in Private Practice 6800026923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balanced Physical Therapy and Wellness LLCGroup PAC ID 9032427513, 50 clinicians

Practice addresses (Care Compare)

7849 Tramway Blvd NE
Suite a
Albuquerque, NM 87122-2529
Phone (505) 821-3831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4358NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Physical Therapy and Wellness, LLC Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients
Peak Motion Physical Therapy, Inc. Physical Therapist CurrentSince Sep 3, 2013 Accepting new patients

Locations

5150 San Francisco Rd NE
Ste B
Albuquerque, NM 87109
Phone (505) 336-7711

7424 Holly Ave NE
Albuquerque, NM 87113
Phone (505) 797-5505

7849 Tramway Blvd NE
Ste A
Albuquerque, NM 87122
Phone (505) 821-3831

8100 Wyoming Blvd NE
Ste 261
Albuquerque, NM 87113

8100 Wyoming Blvd NE
Ste M4
Albuquerque, NM 87113
Phone (505) 301-1105

240 S Camino del Pueblo
Ste G
Bernalillo, NM 87004
Phone (505) 373-2836

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1285066506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 WYOMING BLVD NE STE M4",
            "address_2": "#261",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131963",
            "telephone_number": "505-797-5505",
            "fax_number": "505-797-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 HOLLY AVE. NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87113",
            "telephone_number": "505-797-5505",
            "fax_number": "505-797-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "TARA",
        "middle_name": "M.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-09",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.