Organization Active NPI

Grobecker Therapy Inc.

  • Specialist
  • Albuquerque, NM
National Provider Identifier
1235267345
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1778 Issued in NM
Legal business name
GROBECKER THERAPY INC.
Practice address
8304 Mesa Top Rd NW
Albuquerque, NM 87120-3779
Phone
(505) 459-2934
Fax
(505) 343-1363
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
J Rene Grobecker, OT
Title
President
Phone
(505) 459-2934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 1778 NM Primary

Addresses

Primary practice location

8304 Mesa Top Rd NW
Albuquerque, NM 87120-3779

Mailing address

8304 Mesa Top Rd NW
Albuquerque, NM 87120-3779
Phone (505) 459-2934

Other identifiers 1

IdentifierTypeStateIssuer
4268352MedicaidNM

National Provider Directory

National Provider Directory

Locations

4619 Greene St NW
Ste D
Albuquerque, NM 87114
Phone (505) 417-3824

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1235267345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8304 MESA TOP RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203779",
            "telephone_number": "505-459-2934",
            "fax_number": "505-343-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8304 MESA TOP RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203779",
            "telephone_number": "505-459-2934",
            "fax_number": "505-343-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROBECKER THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "GROBECKER",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-459-2934",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "1778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4268352",
            "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 Mar 31, 2008; 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.