Active NPI
Cynthia W Koenig, OT
- Occupational Therapist
- Las Vegas, NM
National Provider Identifier
1093969552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2294
- Practice address
- 1118 9TH St
Las Vegas, NM 87701-4037 - Phone
- (505) 426-7466
- NPI assigned
- Nov 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 2294 | NM | Primary |
Addresses
Primary practice location
1118 9TH St
Las Vegas, NM 87701-4037
Mailing address
131 Sereno Dr
Santa Fe, NM 87501-1533
Phone (505) 577-8718
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2294 | NM | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Las Vegas, NM
- NPI 1205953890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226361600000",
"number": "1093969552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 SERENO DR",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875011533",
"telephone_number": "505-577-8718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 9TH ST",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877014037",
"telephone_number": "505-426-7466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOENIG",
"first_name": "CYNTHIA",
"middle_name": "W",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-11",
"last_updated": "2008-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "2294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.