NPIMap

Organization Active NPI

Turquoise Trail Physical Therapy and Rehabilitation

  • Rehabilitation Clinic/Center
  • Santa Fe, NM
National Provider Identifier
1356341853
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
3111 Issued in NM
Legal business name
TURQUOISE TRAIL PHYSICAL THERAPY AND REHABILITATION
Practice address
2521 Camino Entrada
Santa Fe, NM 87507-4808
Phone
(505) 984-2032
Fax
(505) 474-8836
NPI assigned
Jul 26, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael R Hoerning, PTNPI 1396747069
Title
RPT Director
Phone
(505) 984-2032

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)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 3111 NM Primary

Addresses

Primary practice location

2521 Camino Entrada
Santa Fe, NM 87507-4808

Mailing address

PO Box 29269
Santa Fe, NM 87592-9269
Phone (505) 984-2032

Other identifiers 1

IdentifierTypeStateIssuer
97304859MedicaidNM

National Provider Directory

National Provider Directory

Locations

4930 McLeod Rd NE
Albuquerque, NM 87109
Phone (505) 830-3678

6320 Riverside Plaza Ln NW
Albuquerque, NM 87120
Phone (505) 884-2032

6320 Riverside Plaza Ln NW
Ste 150B
Albuquerque, NM 87120
Phone (505) 884-2032

2521 Camino Entrada
Santa Fe, NM 87507
Phone (505) 984-2032

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356341853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29269",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875929269",
            "telephone_number": "505-984-2032",
            "fax_number": "505-474-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 CAMINO ENTRADA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074808",
            "telephone_number": "505-984-2032",
            "fax_number": "505-474-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURQUOISE TRAIL PHYSICAL THERAPY AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOERNING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "RPT DIRECTOR",
        "authorized_official_telephone_number": "505-984-2032",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NM",
            "license": "3111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97304859",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.