NPIMap

Organization Active NPI

Turquoise Trail Physical Therapy and Rehabilitation

  • Rehabilitation Clinic/Center
  • Santa Fe, NM
National Provider Identifier
1366442865
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
6187 Issued in NM
Legal business name
TURQUOISE TRAIL PHYSICAL THERAPY AND REHABILITATION
Practice address
786A N Saint Francis Dr
Santa Fe, NM 87501-5100
Phone
(505) 984-2032
Fax
(505) 984-0738
NPI assigned
Jul 26, 2005
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 6187 NM Primary

Addresses

Primary practice location

786A N Saint Francis Dr
Santa Fe, NM 87501-5100

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
N5084MedicaidNM

National Provider Directory

National Provider Directory

Locations

786A N Saint Francis Dr
Santa Fe, NM 87501
Phone (505) 984-2032

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1366442865",
    "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": "505-984-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786A N SAINT FRANCIS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875015100",
            "telephone_number": "505-984-2032",
            "fax_number": "505-984-0738"
        }
    ],
    "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": "6187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N5084",
            "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.