Active NPI
Abigail Park, MS OTR/L
- Occupational Therapist
- Santa Fe, NM
National Provider Identifier
1285864017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2475
- Practice address
- 2025 Galisteo St
Santa Fe, NM 87505-2101 - Phone
- (505) 995-4901
- Fax
- (505) 989-6483
- NPI assigned
- Jul 14, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2475 | NM | Primary |
Addresses
Primary practice location
2025 Galisteo St
Santa Fe, NM 87505-2101
Mailing address
455 Saint Michaels Dr
Physician Practices
Santa Fe, NM 87505-7601
Phone (505) 820-5227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2475 | Other | NM | NM LICENSE |
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248739200000",
"number": "1285864017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 SAINT MICHAELS DR",
"address_2": "PHYSICIAN PRACTICES",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875057601",
"telephone_number": "505-820-5227",
"fax_number": "505-913-6627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 GALISTEO ST",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875052101",
"telephone_number": "505-995-4901",
"fax_number": "505-989-6483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "ABIGAIL",
"name_prefix": "Ms.",
"credential": "MS OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-14",
"last_updated": "2009-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "2475",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM LICENSE",
"identifier": "2475",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.