Active NPI
Ortho Sport & Spine Physicians Santa Fe
- Physical Medicine & Rehabilitation Physician
- Santa Fe, NM
National Provider Identifier
1912730102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- ORTHO SPORT & SPINE PHYSICIANS SANTA FE
- Practice address
- 435 Saint Michaels Dr Ste A101
Santa Fe, NM 87505-7668 - Phone
- (678) 752-7246
- NPI assigned
- Aug 22, 2024
- 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
- Faith A Beltzhoover
- Title
- Rcmdirector
- Phone
- (678) 752-7246
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
435 Saint Michaels Dr Ste A101
Santa Fe, NM 87505-7668
Mailing address
5788 Roswell Rd
Atlanta, GA 30328-4904
Phone (678) 752-7246
National Provider Directory
National Provider Directory- Tax ID family
- Alb Pain Management Spine
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Medicine & Rehabilitation Physician
- Albuquerque, NM
- NPI 1073342424
-
- Physical Medicine & Rehabilitation Physician
- Albuquerque, NM
- NPI 1396421038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729555200000",
"number": "1912730102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5788 ROSWELL RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303284904",
"telephone_number": "678-752-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 SAINT MICHAELS DR STE A101",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875057668",
"telephone_number": "678-752-7246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHO SPORT & SPINE PHYSICIANS SANTA FE",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-22",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A",
"authorized_official_last_name": "BELTZHOOVER",
"authorized_official_first_name": "FAITH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "RCMDIRECTOR",
"authorized_official_telephone_number": "678-752-7246"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"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 Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.