Individual provider Active NPI

Christine F Wismer, PT

  • Physical Therapist
  • Santa Fe, NM
National Provider Identifier
1679671069
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1265 Issued in NM
Practice address
230 S Saint Francis Dr
#5
Santa Fe, NM 87501-2454
Phone
(505) 982-8561
Fax
(505) 989-1740
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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 1265 NM Primary

Addresses

Primary practice location

230 S Saint Francis Dr
#5
Santa Fe, NM 87501-2454

Mailing address

29 Domingo Rd
Santa Fe, NM 87508-8256
Phone (505) 231-3361

Other identifiers 1

IdentifierTypeStateIssuer
20578521MedicaidNM

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
1265NMMDChiropractor
359NMMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Swearingen Physical Therapy LLC Physical Therapist Past Accepting new patients
Chris Wismer PT GCFP LLC Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1679671069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 DOMINGO RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875088256",
            "telephone_number": "505-231-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S SAINT FRANCIS DR",
            "address_2": "#5",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012454",
            "telephone_number": "505-982-8561",
            "fax_number": "505-989-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISMER",
        "first_name": "CHRISTINE",
        "middle_name": "F",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "1265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20578521",
            "state": "NM"
        }
    ],
    "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 Nov 26, 2012; 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.