Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Espanola Sports Medicine, PA

Organization Physical Therapist · NPI 1982777850

Espanola Sports Medicine, PA is a Physical Therapist in Espanola, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

708 La Joya St
Espanola, NM 87532-2511
Phone: (505) 753-6550
Fax: (505) 753-1219
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Clinic/Center (primary) Taxonomy 261QR0400X
Physical Therapist Taxonomy 225100000X · Licence 6628 (NM)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence 6628 (NM)

Record details

NPI number1982777850
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theresa Godfrey — Senior Accountant · (402) 334-1919
Other names Espanola Sports Medicine
NPI enumeratedNovember 16, 2006
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023
Mailing address708 La Joya St, Espanola, NM 87532-2511

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