Individual provider Active NPI

Gabriel Ryan Hernandez Carrasco, OTR/L

  • Occupational Therapist
  • Albuquerque, NM
National Provider Identifier
1093300774
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT4433 Issued in NM
Practice address
6911 Taylor Ranch Rd NW Ste C2
Albuquerque, NM 87120-2962
Phone
(505) 508-3497
NPI assigned
Mar 4, 2021
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT4433 NM Primary

Addresses

Primary practice location

6911 Taylor Ranch Rd NW Ste C2
Albuquerque, NM 87120-2962

Mailing address

6911 Taylor Ranch Rd NW Ste C2
Albuquerque, NM 87120-2962
Phone (505) 508-3497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT4433NMMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Climbing Tree Therapy Occupational Therapist PastSince Mar 1, 2021 Accepting new patients
Juntos Therapy Services, LLC PastSince Apr 20, 2025 Accepting new patients
Climbing Tree Therapy, Inc. Occupational Therapist PastSince Mar 1, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1093300774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 TAYLOR RANCH RD NW STE C2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202962",
            "telephone_number": "505-508-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 TAYLOR RANCH RD NW STE C2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202962",
            "telephone_number": "505-508-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ CARRASCO",
        "first_name": "GABRIEL",
        "middle_name": "RYAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-04",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "OT4433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 17, 2025; 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.