Active NPI
Carley Hernandez, OT
- Occupational Therapist
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-2023-0139
- Practice address
- 4250 Coors Blvd SW Ste C
Albuquerque, NM 87121-5500 - Phone
- (505) 727-4961
- NPI assigned
- Jul 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-2023-0139 | NM | Primary |
Addresses
Primary practice location
4250 Coors Blvd SW Ste C
Albuquerque, NM 87121-5500
Mailing address
505 Elm St NE
Albuquerque, NM 87102-2500
Phone (505) 727-4725
Other practice location 1
505 Elm St NE
Albuquerque, NM 87102-2500
Phone (505) 727-4725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT-2023-0139 | Other | NM | NM LICENSE |
Other names 1
- Carley Medina
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- University of New Mexico School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7849 Tramway Blvd NE
Albuquerque, NM 87122-2529
8010 Palomas Ave NE
Suite C
Albuquerque, NM 87109-5201
Phone (505) 208-7551
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-2023-0139 | NM | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lovelace Unm Rehabilitation Hospital, LLC | Current | Accepting new patients | |
| Lovelace Unm Rehabilitation Hospital LLC | Current | Accepting new patients | |
| Balanced Physical Therapy and Wellness, LLC | Current | Accepting new patients | |
| Lovelace Unm Rehabilitation Hospital LLC | Occupational Therapist | Current | Accepting new patients |
Locations
4250 Coors Blvd SW
Ste C
Albuquerque, NM 87121
Phone (505) 727-4725
505 Elm St NE
Albuquerque, NM 87102
Phone (505) 727-4700
7849 Tramway Blvd NE
Ste A
Albuquerque, NM 87122
Phone (505) 821-3831
4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360
111 Rio Rancho Blvd SE
#110
Rio Rancho, NM 87124
Phone (505) 727-4950
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Albuquerque, NM
- NPI 1407234917
-
- Rehabilitation Hospital
- Albuquerque, NM
- NPI 1700325677
-
- Speech-Language Pathologist
- Jemez Pueblo, NM
- NPI 1104357003
Occupational Therapist
-
- Clinic/Center
- Rio Rancho, NM
- NPI 1215411814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1043049992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 ELM ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022500",
"telephone_number": "505-727-4725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 COORS BLVD SW STE C",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871215500",
"telephone_number": "505-727-4961"
}
],
"practiceLocations": [
{
"address_1": "505 Elm St NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871022500",
"country_code": "US",
"telephone_number": "505-727-4725",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "CARLEY",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-30",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "OT-2023-0139",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM LICENSE",
"identifier": "OT-2023-0139",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARLEY",
"last_name": "MEDINA",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.