Active NPI
Gabriella Marcia Santistevan, PT, DPT
- Physical Therapist
- Albuquerque, NM
National Provider Identifier
1699203174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5044
- Practice address
- 2301 Yale Blvd SE Ste A3
Albuquerque, NM 87106-4350 - Phone
- (505) 385-8028
- Fax
- (855) 254-6287
- NPI assigned
- May 30, 2017
- Sex
- Female
- 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 | 5044 | NM | Primary |
Addresses
Primary practice location
2301 Yale Blvd SE Ste A3
Albuquerque, NM 87106-4350
Mailing address
4705 Witches Hollow LN
Colorado Springs, CO 80911-3238
Phone (719) 964-6418
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5044 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Climbing Tree Therapy | Past | Accepting new patients | |
| Climbing Tree Therapy, Inc. | 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.
-
- Occupational Therapist
- Albuquerque, NM
- NPI 1386005734
-
- Occupational Therapist
- Albuquerque, NM
- NPI 1669787446
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1699203174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4705 WITCHES HOLLOW LN",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809113238",
"telephone_number": "719-964-6418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 YALE BLVD SE STE A3",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064350",
"telephone_number": "505-385-8028",
"fax_number": "855-254-6287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTISTEVAN",
"first_name": "GABRIELLA",
"middle_name": "MARCIA",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-30",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "5044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.