Individual provider Active NPI

Talia Houser, MOTR/L

  • Occupational Therapist
  • Veguita, NM
National Provider Identifier
1215486840
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3578 Issued in NM
Practice address
898 Hwy 304
Veguita, NM 87062
Phone
(505) 966-2400
NPI assigned
Sep 23, 2016
Last updated
Sep 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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 3578 NM Primary

Addresses

Primary practice location

898 Hwy 304
Veguita, NM 87062

Mailing address

8205 Portales St NE
Albuquerque, NM 87109-4955
Phone (505) 263-0583

Other names 1

  • Talia Bartolotta Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3578NMMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Playground Therapies LLC Occupational Therapist CurrentSince Apr 1, 2021 Accepting new patients
Sunrise Clinics Past Accepting new patients

Locations

5345 Wyoming Blvd NE
Ste 108
Albuquerque, NM 87109
Phone (505) 537-9906

6700 Jefferson St NE
Bldg E
Albuquerque, NM 87109
Phone (505) 537-9906

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1215486840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 PORTALES ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094955",
            "telephone_number": "505-263-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "898 HWY 304",
            "city": "VEGUITA",
            "state": "NM",
            "postal_code": "87062",
            "telephone_number": "505-966-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSER",
        "first_name": "TALIA",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "3578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TALIA",
            "last_name": "BARTOLOTTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Veguita, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.