Individual provider Active NPI

Karine L Talley, MSPT, CEAS

  • Physical Therapist
  • Santa Fe, NM
National Provider Identifier
1952450504
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3895 Issued in NM
Practice address
2538 Camino Entrada
Suite 300
Santa Fe, NM 87507-4919
Phone
(505) 424-1239
Fax
(888) 746-4761
NPI assigned
Jan 10, 2007
Last updated
Nov 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3895 NM Primary

Addresses

Primary practice location

2538 Camino Entrada
Suite 300
Santa Fe, NM 87507-4919

Mailing address

2538 Camino Entrada
Suite 300
Santa Fe, NM 87507-4919
Phone (505) 424-1239

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
3895NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Solutions, Inc Past Accepting new patients
Sports Med Denton LLC Physical Therapist Past Accepting new patients
D&D Sports Med Aubrey, LLC Physical Therapist PastSince May 1, 2019 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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1952450504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2538 CAMINO ENTRADA",
            "address_2": "SUITE 300",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074919",
            "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": "SUITE 300",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074919",
            "telephone_number": "505-424-1239",
            "fax_number": "888-746-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "KARINE",
        "middle_name": "L",
        "credential": "MSPT, CEAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3895",
            "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 Nov 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.