Individual provider Active NPI

Samantha Hatfield, DPT

  • Physical Therapist
  • Edgewood, NM
National Provider Identifier
1992137392
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4364 Issued in NM
Practice address
1090 Mountain Valley Rd
Edgewood, NM 87015-8044
Phone
(505) 281-1811
NPI assigned
Aug 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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 4364 NM Primary
Physical Therapist 225100000X 11-04670 KS

Addresses

Primary practice location

1090 Mountain Valley Rd
Edgewood, NM 87015-8044

Mailing address

PO Box 2225
Edgewood, NM 87015-2225
Phone (402) 469-1052

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240716002179 NM Practitioner - Physical Therapist in Private Practice 1052856960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Armada Physical Therapy of Albuquerque LLCGroup PAC ID 9830328954, 22 clinicians

Practice addresses (Care Compare)

2929 Coors Blvd NW
Suite 100
Albuquerque, NM 87120-1173
Phone (505) 836-4990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-04670KSMDPhysical Therapist
4364NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Armada Physical Therapy of Albuquerque LLC CurrentSince Jul 8, 2024 Accepting new patients
THNM Skyline Therapy Services Physical Therapist Past Accepting new patients

Locations

6400 Jefferson St NE
Ste 102
Albuquerque, NM 87109
Phone (505) 344-2922

2929 Coors Blvd NW
Ste 100
Albuquerque, NM 87120
Phone (505) 239-8969

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

Organizations & group practices 2

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": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1992137392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2225",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870152225",
            "telephone_number": "402-469-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 MOUNTAIN VALLEY RD",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870158044",
            "telephone_number": "505-281-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATFIELD",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4364",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04670",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.