Kendra Annette Risinger, OT
Individual provider Active NPI Pediatric Occupational Therapist · Ojo Caliente, NM
NPI 1164529822 · NPPES record last updated Jan 26, 2024
Key facts
- NPI
- 1164529822
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 1736 (NM)
- Practice address
- Hwy 285 Road 111
Ojo Caliente, NM 87549 - Phone
- (505) 583-2645
- NPI assigned
- Sep 17, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1736 | NM | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 1736 | NM | Yes |
Addresses
Primary practice location
Hwy 285 Road 111
Ojo Caliente, NM 87549
Mailing address
1335 Paseo del Pueblo Sur # 328
Taos, NM 87571-5972
Phone (505) 927-4379
Other providers in Ojo Caliente, NM
- Las Clinicas del Norte Incorporated
- Las Clinicas del Norte, Incorporated
- Dietta Dawn Lence
- Mesa Vista Consolidated School District
- Ojo Caliente Wellness Center, LLC
- Kathleen Jerene Rojas
- Susan Worthington
All providers in Ojo Caliente, NM · Pediatric Occupational Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.