Organization Active NPI

Dwell Therapy LLC

  • Occupational Therapist
  • Las Cruces, NM
National Provider Identifier
1073067211
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2722 Issued in NM
Legal business name
DWELL THERAPY LLC
Practice address
424 N Main St
Ste 400
Las Cruces, NM 88001-1282
Phone
(575) 639-1175
NPI assigned
Aug 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
Kimberly H Chormicle
Title
Owner
Phone
(575) 639-1175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 2722 NM Primary

Addresses

Primary practice location

424 N Main St
Ste 400
Las Cruces, NM 88001-1282

Mailing address

424 N Main St
Ste 400
Las Cruces, NM 88001-1282
Phone (575) 639-1175

National Provider Directory

National Provider Directory

Locations

424 N Main St
Ste 400
Las Cruces, NM 88001
Phone (575) 639-1175

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": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1073067211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 N MAIN ST",
            "address_2": "STE 400",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011282",
            "telephone_number": "575-639-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N MAIN ST",
            "address_2": "STE 400",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011282",
            "telephone_number": "575-639-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWELL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "CHORMICLE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-639-1175"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "2722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.