Organization Active NPI

Empowered Therapy LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Los Lunas, NM
National Provider Identifier
1043920077
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
EMPOWERED THERAPY LLC
Practice address
512 Sandoval Rd SW
Los Lunas, NM 87031-7323
Phone
(505) 261-4607
NPI assigned
Nov 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Alexandria CainNPI 1346773918
Title
Owner
Phone
(505) 261-4607

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

512 Sandoval Rd SW
Los Lunas, NM 87031-7323

Mailing address

512 Sandoval Rd SW
Los Lunas, NM 87031-7323

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1043920077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 SANDOVAL RD SW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870317323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 SANDOVAL RD SW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870317323",
            "telephone_number": "505-261-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-261-4607"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Lunas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.