Individual provider Active NPI

Elizabeth R Parker, MSPT

  • Physical Therapist
  • Santa Fe, NM
National Provider Identifier
1629211586
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2926 Issued in NM
Practice address
104 Old Las Vegas Hwy
Santa Fe, NM 87505-8199
Phone
(505) 992-4995
Fax
(505) 992-4985
NPI assigned
Apr 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2926 NM Primary

Addresses

Primary practice location

104 Old Las Vegas Hwy
Santa Fe, NM 87505-8199

Mailing address

104 Old Las Vegas Hwy
Santa Fe, NM 87505-8199
Phone (505) 992-4995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2926NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
SF Sports MD & Rehab Physical Therapist PastSince Apr 16, 2018 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1629211586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 OLD LAS VEGAS HWY",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875058199",
            "telephone_number": "505-992-4995",
            "fax_number": "505-992-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 OLD LAS VEGAS HWY",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875058199",
            "telephone_number": "505-992-4995",
            "fax_number": "505-992-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ELIZABETH",
        "middle_name": "R",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2926",
            "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 Apr 8, 2009; 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.