NPIMap

Organization Active NPI

Sprint Sports Rehabilitation Inc

  • Physical Therapist
  • Roswell, NM
National Provider Identifier
1316974017
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPRINT SPORTS REHABILITATION INC
Practice address
113 E College Blvd
Roswell, NM 88201-5158
Phone
(575) 622-6500
Fax
(575) 622-9777
NPI assigned
Jun 27, 2006
Last updated
Jan 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Helen M Pritchard
Title
Delegated Official
Phone
(575) 622-6500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

113 E College Blvd
Roswell, NM 88201-5158

Mailing address

113 E College Blvd
Roswell, NM 88201-5158
Phone (575) 622-6500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040225000135 NM Part B Supplier - Clinic/Group Practice 1759277932 Receives reassigned benefits from 3 practitioners
Practice locations: Roswell, NM

National Provider Directory

National Provider Directory

Locations

113 E College Blvd
Roswell, NM 88201
Phone (505) 622-6500

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1316974017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E COLLEGE BLVD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015158",
            "telephone_number": "575-622-6500",
            "fax_number": "575-622-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E COLLEGE BLVD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015158",
            "telephone_number": "575-622-6500",
            "fax_number": "575-622-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINT SPORTS REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "PRITCHARD",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "575-622-6500"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.