Individual provider Active NPI

Teresa Ziomek, OT

  • Pediatric Occupational Therapist
  • Albuquerque, NM
National Provider Identifier
1205178902
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
3054 Issued in NM
Practice address
9550 San Mateo Blvd NE Ste a
Albuquerque, NM 87113-2313
Phone
(505) 302-6850
Fax
(505) 672-5137
NPI assigned
Mar 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3054 NM
Pediatric Occupational Therapist 225XP0200X 3054 NM Primary

Addresses

Primary practice location

9550 San Mateo Blvd NE Ste a
Albuquerque, NM 87113-2313

Mailing address

9550 San Mateo Blvd NE Ste a
Albuquerque, NM 87113-2313
Phone (505) 302-6850

Other identifiers 2

IdentifierTypeStateIssuer
326556OtherNMMEDICARE
10171568MedicaidNM

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
3054NMMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sandia Sunrise Therapy LLC Occupational Therapist CurrentSince Mar 21, 2021 Accepting new patients
Amistad Family Services Inc Occupational Therapist Past Accepting new patients
Explorabilities Inc Occupational Therapist Past Accepting new patients

Locations

9550 San Mateo Blvd NE
Ste A
Albuquerque, NM 87113
Phone (505) 302-6850

Organizations & group practices 3

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": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1205178902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 SAN MATEO BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132313",
            "telephone_number": "505-302-6850",
            "fax_number": "505-672-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 SAN MATEO BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132313",
            "telephone_number": "505-302-6850",
            "fax_number": "505-672-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIOMEK",
        "first_name": "TERESA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "3054",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NM",
            "license": "3054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "326556",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10171568",
            "state": "NM"
        }
    ],
    "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 3, 2025; 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.