| Sf Sports Md & Rehab | |
|
104c Old Las Vegas Highway, Santa Fe, NM 87505 | |
| (505) 992-4995 | |
| (505) 992-4985 |
| Full Name | Sf Sports Md & Rehab |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 104c Old Las Vegas Highway, Santa Fe, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619470861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4090 (New Mexico) | Primary |
| Provider Name | Cameron Brenneman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851562979 PECOS PAC ID: 7416017298 Enrollment ID: I20081124000655 |
| Provider Name | Esther G Coker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861730533 PECOS PAC ID: 7012157548 Enrollment ID: I20130705000443 |
| Provider Name | Candace R Kenyon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154331536 PECOS PAC ID: 3678556198 Enrollment ID: I20140912000780 |
| Provider Name | Sanjay Bardwaj |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093184186 PECOS PAC ID: 5597065045 Enrollment ID: I20151204002301 |
| Provider Name | Thomas Sandoval |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013375732 PECOS PAC ID: 9335447127 Enrollment ID: I20160412000339 |
| Provider Name | David Gerstel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720010770 PECOS PAC ID: 9537199112 Enrollment ID: I20200522000288 |
| Provider Name | Grace C Grogan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588025209 PECOS PAC ID: 6002194065 Enrollment ID: I20240425000183 |
| Mailing Address | Practice Location Address |
|---|---|
| Sf Sports Md & Rehab 104c Old Las Vegas Highway, Santa Fe, NM 87505 Ph: (505) 992-4995 | Sf Sports Md & Rehab 104c Old Las Vegas Highway, Santa Fe, NM 87505 Ph: (505) 992-4995 |
Mallory Law, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2579 Camino San Patricio, Santa Fe, NM 87505 Phone: 505-204-6082 | |
Nancy Susan Newhall, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1807 2nd St, Suite 101, Santa Fe, NM 87505 Phone: 505-982-8561 Fax: 505-989-1740 | |
Virginia Ann Byrd, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 404 Brunn School Rd, Suite D, Santa Fe, NM 87505 Phone: 505-983-0670 Fax: 505-983-0118 | |
Cindy O'rourke, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2538 Camino Entrada Ste 300, Santa Fe, NM 87507 Phone: 505-424-1239 | |
Mrs. Adriana Vega Wostal, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 720 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-438-9402 | |
Dr. Liam James Kavin, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 15 Dulce Rd, Santa Fe, NM 87508 Phone: 207-319-5348 | |
Helen Timmie Wallace, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4309 Cloud Dance, Santa Fe, NM 87507 Phone: 505-438-2960 Fax: 505-438-2960 |