NPIMap

Organization Active NPI

Sentry Safety and Physical Therapy Specialists, LLC

  • Physical Therapist
  • Roswell, NM
National Provider Identifier
1619349743
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SENTRY SAFETY AND PHYSICAL THERAPY SPECIALISTS, LLC
Practice address
805 N Richardson Ave
Roswell, NM 88201-4920
Phone
(575) 622-6260
Fax
(575) 622-6326
NPI assigned
Oct 28, 2015
Last updated
Aug 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Dr. Robert Ryan Wooley, PT, DPTNPI 1184934218
Title
Owner / Clinician
Phone
(575) 622-6260

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

805 N Richardson Ave
Roswell, NM 88201-4920

Mailing address

805 N Richardson Ave
Roswell, NM 88201-4920
Phone (575) 622-6260

Other names 1

  • Sentry Safety and PT Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160415000064 NM Part B Supplier - Clinic/Group Practice 2264730860 Receives reassigned benefits from 4 practitioners
Practice locations: Roswell, NM

National Provider Directory

National Provider Directory

Locations

205 N Union Ave
Roswell, NM 88201
Phone (970) 988-2214

Practitioners & affiliated clinicians

Practitioners 9

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": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1619349743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N RICHARDSON AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014920",
            "telephone_number": "575-622-6260",
            "fax_number": "575-622-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N RICHARDSON AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014920",
            "telephone_number": "575-622-6260",
            "fax_number": "575-622-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTRY SAFETY AND PHYSICAL THERAPY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "WOOLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER / CLINICIAN",
        "authorized_official_telephone_number": "575-622-6260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentry Safety and PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.