Individual provider Active NPI

Grace Rosenberger

  • Physical Therapist
  • Santa Fe, NM
National Provider Identifier
1588025209
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006426 Issued in KY
Practice address
326 McKenzie St
Santa Fe, NM 87501-1883
Phone
(505) 428-0427
Fax
(505) 428-0399
NPI assigned
Mar 8, 2016
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 006426 KY Primary
Physical Therapist 225100000X 12749-24 WI

Addresses

Primary practice location

326 McKenzie St
Santa Fe, NM 87501-1883

Mailing address

PO Box 5629
Evansville, IN 47716-5629
Phone (812) 759-7451

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425000183 NM Practitioner - Physical Therapist in Private Practice 6002194065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
SF BNPT Acquisition LLCGroup PAC ID 6800393224, 2 clinicians
SF Sports MD and RehabGroup PAC ID 7012278278, 2 clinicians

Practice addresses (Care Compare)

326 McKenzie St
Santa Fe, NM 87501-1883
Phone (505) 992-4995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12749-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SF BNPT Acquisition LLC Physical Therapist Current Accepting new patients
SF Sports MD & Rehab Physical Therapist CurrentSince Jan 10, 2024 Accepting new patients
Concepts in Rehab Inc PastSince Sep 1, 2021 Accepting new patients

Locations

326 McKenzie St
Santa Fe, NM 87501
Phone (505) 428-0427

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1588025209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5629",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477165629",
            "telephone_number": "812-759-7451",
            "fax_number": "812-759-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 MCKENZIE ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011883",
            "telephone_number": "505-428-0427",
            "fax_number": "505-428-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERGER",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-08",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006426",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12749-24",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.