Sprint Sports Rehabilitation Inc
Organization Active NPI Physical Therapist · Roswell, NM
NPI 1316974017 · NPPES record last updated Jan 23, 2020
Key facts
- NPI
- 1316974017
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 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
- Organization subpart
- No
Authorized official
- Name
- Helen M Pritchard
- Title
- Delegated Official
- Phone
- (575) 622-6500
Practitioners 18
-
Christin Ann Boswell, DPT
-
Tasha L Curry, DPT
-
Alistair Peter McCrann, DPT, ATC
-
Tasha Perez, PTA
-
Peter Bruzas, LAT, ATC, CSCS
-
Eric I Cardona, ATC, LAT
-
Paul L Choat, A.T.C.
-
Keith J Gardner, A.T.C.
-
Kelsi A Lamb, PTA
-
Scott T Long, ATC,LAT
-
Lewis James Ruffing, SMPT
-
Rossana Ruffing, LMT
-
Pia S Vanheyste, LPT
-
Robert Ryan Wooley, DPT
-
Meghan Kathryn Bell, PT, DPT
-
Lance Lee Hipple, MPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040225000135 | NM | Part B Supplier - Clinic/Group Practice | 1759277932 |
Receives reassigned benefits from 3 practitioners Practice locations: Roswell, NM |
National Provider Directory
Locations
113 E College Blvd
Roswell, NM 88201
Phone (505) 622-6500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00971367 | Medicaid | NM |
Other providers in Roswell, NM
- Sydni Sparks
- Special Needs Consulting LLC
- Spinal Health Associates, Inc.
- Spinal Health Solutions Inc
- Spine and Orthopedic Center of New Mexico PC
- Melody Spurlin
- Cassondra Anne Stafford
- Tegan Stanbrough
- Stargate Mobility
- State of New Mexico
All providers in Roswell, 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 Jan 23, 2020. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.