Active NPI
Carol Miriam Spizman, MOTR/L
- Occupational Therapist
- Albuquerque, NM
National Provider Identifier
1194252445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2172
- Practice address
- 2301 Yale Blvd SE
Albuquerque, NM 87106-4228 - Phone
- (505) 385-8028
- Fax
- (855) 254-6287
- NPI assigned
- May 17, 2017
- 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 | 2172 | NM | Primary |
Addresses
Primary practice location
2301 Yale Blvd SE
Albuquerque, NM 87106-4228
Mailing address
513 Valverde Dr SE
Albuquerque, NM 87108-3463
Phone (505) 262-2839
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2172 | NM | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494979200000",
"number": "1194252445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 VALVERDE DR SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871083463",
"telephone_number": "505-262-2839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 YALE BLVD SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064228",
"telephone_number": "505-385-8028",
"fax_number": "855-254-6287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIZMAN",
"first_name": "CAROL",
"middle_name": "MIRIAM",
"credential": "MOTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-17",
"last_updated": "2017-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "2172",
"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 May 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.