Organization Active NPI

Human Performance Center, Inc

Doing business as Human Performance Center

  • Physical Therapy Clinic/Center
  • Santa Fe, NM
National Provider Identifier
1730447582
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HUMAN PERFORMANCE CENTER, INC
Doing business as
Human Performance Center
Practice address
825 Early St
Ste G
Santa Fe, NM 87505-1680
Phone
(505) 992-1088
NPI assigned
Apr 30, 2012
Last updated
Apr 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Authorized official

Name
Fred McDaniel Jr., OT/L
Title
Owner
Phone
(505) 992-1088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

825 Early St
Ste G
Santa Fe, NM 87505-1680

Mailing address

825 Early St
Ste G
Santa Fe, NM 87505-1680
Phone (505) 992-1088

Other names 1

  • Human Performance Center Doing business as

National Provider Directory

National Provider Directory

Locations

825 Early St
Ste D
Santa Fe, NM 87505
Phone (505) 992-1088

825 Early St
Ste G
Santa Fe, NM 87505
Phone (505) 992-1088

Practitioners & affiliated clinicians

Practitioners 1

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": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1730447582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 EARLY ST",
            "address_2": "STE G",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051680",
            "telephone_number": "505-992-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 EARLY ST",
            "address_2": "STE G",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051680",
            "telephone_number": "505-992-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN PERFORMANCE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-992-1088",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OT/L"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Human Performance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 30, 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.