Organization Active NPI

Momentum Physical Therapy, LLC

  • Physical Therapist
  • Santa Fe, NM
National Provider Identifier
1811211998
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2320 Issued in NM
Legal business name
MOMENTUM PHYSICAL THERAPY, LLC
Practice address
1512 Pacheco St
Suite a-203
Santa Fe, NM 87505-5104
Phone
(505) 473-2896
Fax
(505) 989-1468
NPI assigned
Mar 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Authorized official

Name
Ms. Cindy L Kirby, M.S. P.T.
Title
Owner, Physical Therapist
Phone
(505) 473-2896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2320 NM Primary

Addresses

Primary practice location

1512 Pacheco St
Suite a-203
Santa Fe, NM 87505-5104

Mailing address

1512 Pacheco St
Suite a-203
Santa Fe, NM 87505-5104
Phone (505) 473-2896

National Provider Directory

National Provider Directory

Locations

1512 Pacheco St
Ste A203
Santa Fe, NM 87505
Phone (505) 473-2896

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1811211998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 PACHECO ST",
            "address_2": "SUITE A-203",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055104",
            "telephone_number": "505-473-2896",
            "fax_number": "505-989-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 PACHECO ST",
            "address_2": "SUITE A-203",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055104",
            "telephone_number": "505-473-2896",
            "fax_number": "505-989-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "505-473-2896",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S. P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2320",
            "primary": true
        }
    ],
    "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 Mar 18, 2010; 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.