Active NPI
Gain Physical Therapy LLC
- Orthopedic Physical Therapist
- Santa Fe, NM
National Provider Identifier
1760958730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- GAIN PHYSICAL THERAPY LLC
- Practice address
- 17 Avenida Campo Verde
Santa Fe, NM 87506-0269 - Phone
- (505) 257-8288
- NPI assigned
- Oct 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric Douglas Payne, PT, DPT, OCS
- Title
- Owner
- Phone
- (505) 257-8288
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary | ||
| Physical Therapy Clinic/Center | 261QP2000X |
Addresses
Primary practice location
17 Avenida Campo Verde
Santa Fe, NM 87506-0269
Mailing address
PO Box 184
Tesuque, NM 87574-0184
Phone (505) 257-8288
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539734400000",
"number": "1760958730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 184",
"city": "TESUQUE",
"state": "NM",
"postal_code": "875740184",
"telephone_number": "505-257-8288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 AVENIDA CAMPO VERDE",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875060269",
"telephone_number": "505-257-8288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAIN PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-17",
"last_updated": "2018-10-17",
"status": "A",
"authorized_official_last_name": "PAYNE",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-257-8288",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT, OCS"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
}
],
"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 Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.