Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Espanola Sports Medicine, PA

Organization Physical Therapist · NPI 1982777850

Espanola Sports Medicine, PA provides Physical Therapist services 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
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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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