Individual provider Active NPI

Sandra K Chavez, PT

  • Orthopedic Physical Therapist
  • Albuquerque, NM
National Provider Identifier
1952389488
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
3099 Issued in NM
Practice address
3901 Singer Blvd NE Ste B
Albuquerque, NM 87109-5846
Phone
(505) 286-7838
Fax
(505) 286-8025
NPI assigned
Jan 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3099 NM
Orthopedic Physical Therapist 2251X0800X 3099 NM Primary

Addresses

Primary practice location

3901 Singer Blvd NE Ste B
Albuquerque, NM 87109-5846

Mailing address

3901 Singer Blvd NE Ste B
Albuquerque, NM 87109-5846
Phone (505) 286-7838

Other names 1

  • Sandra K Knudsen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060927000536 NM Practitioner - Physical Therapist in Private Practice 4789689662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of New Mexico School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Solutions Therapy Serv IncGroup PAC ID 9638132830, 9 clinicians

Practice addresses (Care Compare)

3901 Georgia St NE
BLDG F
Albuquerque, NM 87110-1359
Phone (505) 286-7838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3099NMMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Solutions Therapy Serv Inc Physical Therapist CurrentSince Feb 3, 2023 Accepting new patients
Active Solutions Therapy Services, Inc Physical Therapist Past Accepting new patients

Locations

3901 Singer Blvd NE
Ste B
Albuquerque, NM 87109
Phone (505) 280-0079

3901 Georgia St NE
Bldg F
Albuquerque, NM 87110
Phone (505) 286-7838

12220 N Highway 14
Ste L
Cedar Crest, NM 87008
Phone (505) 407-2153

1 Linnie Ct
Edgewood, NM 87015
Phone (505) 286-7838

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1952389488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 SINGER BLVD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095846",
            "telephone_number": "505-286-7838",
            "fax_number": "505-286-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 SINGER BLVD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095846",
            "telephone_number": "505-286-7838",
            "fax_number": "505-286-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "SANDRA",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3099",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NM",
            "license": "3099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "KNUDSEN",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.