Joan Ellen Adelsky X
Individual provider Active NPI Physical Therapist · Santa Fe, NM
NPI 1306323829 · NPPES record last updated Jul 26, 2018
Key facts
- NPI
- 1306323829
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2281 (NM)
- Practice address
- 147 Candelario St Apt C
Santa Fe, NM 87501-1596 - Phone
- (505) 692-5267
- NPI assigned
- Jul 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Espanola Sports Medicine PA
Practice addresses (Care Compare)
708 La Joya St
Espanola, NM 87532-2511
Phone (505) 753-6550
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181101000728 | NM | Practitioner - Physical Therapist in Private Practice | 3476806845 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2281 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Espanola Sports Medicine, PA | Single Specialty | Current |
Accepting new patients |
Locations
708 La Joya St
Espanola, NM 87532
Phone (505) 753-6550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 2281 | NM | Yes |
Addresses
Primary practice location
147 Candelario St Apt C
Santa Fe, NM 87501-1596
Mailing address
147 Candelario St Apt C
Santa Fe, NM 87501-1596
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- Amy P Adler
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All providers in Santa Fe, NM · Physical Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.