Blue Star Therapy, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

BLUE STAR THERAPY, LLC

Practice address

611 W. Mahone Dr.
Artesia, NM 88210

Phone

(575) 317-7643

NPI assigned

Nov 25, 2019

Last updated

Nov 25, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elsa A Paez, MOTR/L

Title

Owner/Otr

Phone

(575) 317-7643

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1003452012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W. MAHONE DR.",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "88210",
            "telephone_number": "575-317-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W. MAHONE DR.",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "88210",
            "telephone_number": "575-317-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE STAR THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "PAEZ",
        "authorized_official_first_name": "ELSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/OTR",
        "authorized_official_telephone_number": "575-317-7643",
        "authorized_official_credential": "MOTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott E Beard, MD
• Emilie M Belyea
• Chelsea Janette Bilberry, RN
• Bailey Vaughan Blackwell, MOTR/L
• Stephanie L Blackwood, CNP
• Patty A Boatenhamer, RDH
• Kylar M Boggs
• Gerald E Boone, PA CERTIFIED PAC
• Cierra Boyce, LCSW
• Angelica R Branch, CSW

• Occupational Therapist in Artesia, NM
• Providers in Artesia, NM by specialty
• Occupational Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.