Space for Healing PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

4157 Issued in NM

Legal business name

SPACE FOR HEALING PC

Practice address

1300 Luisa St
Suite 21
Santa Fe, NM 87505-4204

Phone

(609) 915-8047

NPI assigned

Mar 17, 2015

Organization subpart

No

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

Authorized official

Name

Frances Ertel, PT

Title

Owner/Director

Phone

(609) 915-8047

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1992198741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX O",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875040558",
            "telephone_number": "609-915-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 LUISA ST",
            "address_2": "SUITE 21",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054204",
            "telephone_number": "609-915-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPACE FOR HEALING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "ERTEL",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "609-915-8047",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NM",
            "license": "4157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Physical Therapy Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.