| Dr Liam James Kavin, DPT | |
| 
					15 Dulce Rd, Santa Fe, NM 87508-8284  | |
| (207) 319-5348 | |
| Not Available | 
| Full Name | Dr Liam James Kavin | 
|---|---|
| Gender | Male | 
| Speciality | Physical Therapist | 
| Location | 15 Dulce Rd, Santa Fe, New Mexico | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093285181 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | 043668 (New York) | Secondary | 
| 225100000X | Physical Therapist | PT5603 (New Mexico) | Primary | 
| Provider Name | Sports Physical Therapy Occupational Therapy And Rehabilitation Servic | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1770540593 PECOS PAC ID: 0446140446 Enrollment ID: O20040315001603  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Liam James Kavin, DPT 15 Dulce Rd, Santa Fe, NM 87508-8284 Ph: (207) 319-5348  | Dr Liam James Kavin, DPT 15 Dulce Rd, Santa Fe, NM 87508-8284 Ph: (207) 319-5348  | 
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  | |
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  |