NPIMap

Individual provider Active NPI

Marisol Selena Brionez-Wooster

  • Occupational Therapist
  • Albuquerque, NM
National Provider Identifier
1194438523
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT22028 Issued in NM
Practice address
2301 Yale Blvd SE
Albuquerque, NM 87106-4228
Phone
(505) 385-8028
NPI assigned
Dec 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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 OT22028 NM Primary

Addresses

Primary practice location

2301 Yale Blvd SE
Albuquerque, NM 87106-4228

Mailing address

2301 Yale Blvd SE
Albuquerque, NM 87106-4228

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
OT22028NMMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Climbing Tree Therapy Occupational Therapist Past Accepting new patients
Climbing Tree Therapy, Inc. Occupational Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1194438523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 YALE BLVD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064228"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIONEZ-WOOSTER",
        "first_name": "MARISOL",
        "middle_name": "SELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "OT22028",
            "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 Dec 30, 2022; 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.