Active NPI
Chris Trujillo, PTA
- Physical Therapy Assistant
- Santa Fe, NM
National Provider Identifier
1699301945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A-345
- Practice address
- 1650 Galisteo St
Santa Fe, NM 87505-4747 - Phone
- (505) 984-8313
- NPI assigned
- Mar 19, 2020
- Sex
- Male
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | A-345 | NM | Primary |
Addresses
Primary practice location
1650 Galisteo St
Santa Fe, NM 87505-4747
Mailing address
421 New Mexico Ave
Las Vegas, NM 87701-3281
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3002080327 | Medicaid | NM |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | christopher.trujillo@genesishcc.com | Direct | |
| CONNECT URL | christopher.trujillo@genesishcc.com | Direct |
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 |
|---|---|---|---|
| A-345 | NM | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1699301945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 NEW MEXICO AVE",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877013281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 GALISTEO ST",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054747",
"telephone_number": "505-984-8313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "CHRIS",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-19",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NM",
"license": "A-345",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3002080327",
"state": "NM"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "christopher.trujillo@genesishcc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1650 Galisteo St",
"city": "Santa Fe",
"state": "NM",
"country_code": "US",
"postal_code": "875054747",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "christopher.trujillo@genesishcc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1650 Galisteo St",
"city": "Santa Fe",
"state": "NM",
"country_code": "US",
"postal_code": "875054747",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.