Organization
NEW MEXICO SPORTS & PT
Active
Organization
NEW MEXICO SPORTS & PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS H FAGAN P T (PRESIDENT)
(505) 424-0131
Entity
Organization
Contact information
Practice address
2954 RODEO PARK DR W, SANTA FE, NM 87505-6351
(505) 424-0131
(505) 424-1299
Mailing address
2954 RODEO PARK DR W, SANTA FE, NM 87505-6351
(505) 424-0131
(505) 424-1299
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
6292
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N4536
—
NM
Enumeration date
10/20/2006
Last updated
06/01/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up