Active NPI
Catherine Ivie, CTRS, ATP
- Recreation Therapist
- Albuquerque, NM
National Provider Identifier
1194327999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 54542
- Practice address
- 1501 San Pedro Dr SE
Recreation Hall 117D
Albuquerque, NM 87108-5180 - Phone
- (505) 366-2030
- NPI assigned
- Nov 16, 2020
- Last updated
- Nov 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistive Technology Practitioner Rehabilitation Counselor | 225CA2400X | 73559 | ||
| Recreation Therapist | 225800000X | 54542 | Primary |
Addresses
Primary practice location
1501 San Pedro Dr SE
Recreation Hall 117D
Albuquerque, NM 87108-5180
Mailing address
1501 San Pedro Dr SE
Recreation Hall 117D
Albuquerque, NM 87108-5180
Phone (505) 366-2030
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1194327999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 SAN PEDRO DR SE",
"address_2": "RECREATION HALL 117D",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871085180",
"telephone_number": "505-366-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SAN PEDRO DR SE",
"address_2": "RECREATION HALL 117D",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871085180",
"telephone_number": "505-366-2030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVIE",
"first_name": "CATHERINE",
"credential": "CTRS, ATP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225CA2400X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
"state": null,
"license": "73559",
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": null,
"license": "54542",
"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 Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.