Active NPI
Daniel Ebenstein, DPT
- Physical Therapist
- Santa Fe, NM
National Provider Identifier
1598512550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5945
- Practice address
- 2968 Rodeo Park Dr W Ste 100
Santa Fe, NM 87505-6376 - Phone
- (505) 913-5100
- NPI assigned
- May 6, 2024
- Last updated
- May 6, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5945 | NM | Primary |
Addresses
Primary practice location
2968 Rodeo Park Dr W Ste 100
Santa Fe, NM 87505-6376
Mailing address
46 Old Agua Fria Rd E
Santa Fe, NM 87508-5969
Phone (802) 777-6655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4200 Beckner Rd
Santa Fe, NM 87507-3774
Phone (505) 477-2378
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Hospital | Past | Accepting new patients | |
| Therapy One Inc | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Santa Fe, NM
- NPI 1427810571
-
dba CHRISTUS St. Vincent Adult and Family Care
- Family Medicine Physician
- Santa Fe, NM
- NPI 1245438647
-
- Physical Therapist
- Farmington, NM
- NPI 1770596116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1598512550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 OLD AGUA FRIA RD E",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875085969",
"telephone_number": "802-777-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2968 RODEO PARK DR W STE 100",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875056376",
"telephone_number": "505-913-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBENSTEIN",
"first_name": "DANIEL",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-06",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "PT5945",
"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 May 6, 2024; 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.