Organization Active NPI

Wild Rose Hand Therapy LLC

  • Hand Occupational Therapist
  • Santa Fe, NM
National Provider Identifier
1598213852
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
Legal business name
WILD ROSE HAND THERAPY LLC
Practice address
1348 Pacheco St
Unit 104
Santa Fe, NM 87505-4222
Phone
(970) 779-0223
NPI assigned
Sep 15, 2016
Last updated
Sep 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Authorized official

Name
Mrs. Kristin Ann Forno, MOTR/LNPI 1295128429
Title
Occupational Therapist
Phone
(970) 779-0223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XH1200X Primary

Addresses

Primary practice location

1348 Pacheco St
Unit 104
Santa Fe, NM 87505-4222

Mailing address

762 Camino Francisca
Santa Fe, NM 87506-6000
Phone (970) 779-0223

National Provider Directory

National Provider Directory

Locations

1348 Pacheco St
Unit 104
Santa Fe, NM 87505
Phone (505) 303-3593

Practitioners & affiliated clinicians

Practitioners 1

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": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1598213852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 CAMINO FRANCISCA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875066000",
            "telephone_number": "970-779-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 PACHECO ST",
            "address_2": "UNIT 104",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054222",
            "telephone_number": "970-779-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD ROSE HAND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "FORNO",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "970-779-0223",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MOTR/L"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Sep 15, 2016; 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.