Individual provider Active NPI

Gina Sandoval, DPT

  • Orthopedic Physical Therapist
  • Santa Fe, NM
National Provider Identifier
1831130301
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1523 Issued in NM
Practice address
2538 Camino Entrada
Ste. 300
Santa Fe, NM 87507-4919
Phone
(505) 424-1239
Fax
(888) 746-4761
NPI assigned
Jun 8, 2006
Last updated
Dec 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1523 NM Primary

Addresses

Primary practice location

2538 Camino Entrada
Ste. 300
Santa Fe, NM 87507-4919

Mailing address

PO Box 33286
Santa Fe, NM 87594-3286
Phone (505) 424-1239

Other names 1

  • Ms. Gina Sandoval Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1523NMMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Solutions, Inc Orthopedic Past Accepting new patients
Rocky Mountain Orthopedics Inc Orthopedic PastSince Jan 29, 2004 Accepting new patients
Lucia Cies, M.D., P.C. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1831130301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33286",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875943286",
            "telephone_number": "505-424-1239",
            "fax_number": "888-746-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2538 CAMINO ENTRADA",
            "address_2": "STE. 300",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074919",
            "telephone_number": "505-424-1239",
            "fax_number": "888-746-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "GINA",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NM",
            "license": "1523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "SANDOVAL",
            "prefix": "MS.",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 28, 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.