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Espanola Sports Medicine, PA

Rehabilitation Clinic/Center in Espanola, NM · enumerated 2006 · authorized official Theresa Godfrey, Senior Accountant.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1982777850

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Registry record

Entity type Organization (Type 2)
Legal business name Espanola Sports Medicine, PA
Other name <Unavail>
Practice address 708 La Joya St, Espanola, NM, 87532
Phone (505) 753-6550
Fax (505) 753-1219
Enumeration date Nov 16, 2006
Last updated in NPPES Oct 31, 2023

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 6628 (NM) Secondary
261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities · License 6628 (NM) Secondary
261QR0400X Rehabilitation Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Theresa Godfrey
Title Senior Accountant
Phone (402) 334-1919

Other identifiers

Identifier Type State Issuer
R5803 Medicaid NM -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Espanola Sports Medicine, PA?
Espanola Sports Medicine, PA is registered in NPPES as a Rehabilitation Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-31.