Special K Fitness, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1146 Issued in NM

Legal business name

SPECIAL K FITNESS, INC.

Practice address

3180 N. Butler Ave.
BLDG. 300
Farmington, NM 87401

Phone

(505) 326-2460

Fax

(505) 325-1943

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Kim Noyes, P.T.

Title

President/Owner

Phone

(505) 326-2460

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1376648733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 N. BUTLER AVE.",
            "address_2": "BLDG. 300",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-326-2460",
            "fax_number": "505-325-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 N. BUTLER AVE.",
            "address_2": "BLDG. 300",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-326-2460",
            "fax_number": "505-325-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL K FITNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "NOYES",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "505-326-2460",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "1146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM00Q233",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Farmington, NM
• Providers in Farmington, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.