NPIMap

Organization Active NPI

Hendricks Functional Health, LLC

Doing business as Santa Fe Therapy Associates

  • Speech-Language Pathologist
  • Santa Fe, NM
National Provider Identifier
1942958277
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
HENDRICKS FUNCTIONAL HEALTH, LLC
Doing business as
Santa Fe Therapy Associates
Practice address
1800 Old Pecos TRL
Santa Fe, NM 87505-4759
Phone
(505) 424-8777
NPI assigned
Mar 15, 2022
Last updated
Mar 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Authorized official

Name
Ginna Hendricks
Title
Manager
Phone
(505) 603-6220

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

1800 Old Pecos TRL
Santa Fe, NM 87505-4759

Mailing address

25 Teddy Bear TRL
Santa Fe, NM 87505-8118
Phone (505) 603-6220

Other practice location 1

1800 Old Pecos Trl
Santa Fe, NM 87505-4759
Phone (505) 424-8777

Other practice location 2

1800 Old Pecos Trl
Santa Fe, NM 87505-4759
Phone (505) 424-8777

Other names 1

  • Santa Fe Therapy Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1800 Old Pecos Trl
Santa Fe, NM 87505
Phone (505) 424-8777

1800 Old Pecos Trl
Ste 1
Santa Fe, NM 87505
Phone (505) 424-8777

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1942958277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 TEDDY BEAR TRL",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875058118",
            "telephone_number": "505-603-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 OLD PECOS TRL",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054759",
            "telephone_number": "505-424-8777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Old Pecos Trl",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875054759",
            "country_code": "US",
            "telephone_number": "505-424-8777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Old Pecos Trl",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875054759",
            "country_code": "US",
            "telephone_number": "505-424-8777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HENDRICKS FUNCTIONAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "GINNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "505-603-6220"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Fe Therapy Associates",
            "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 Mar 15, 2022; 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.