Active NPI
Louisa A Boyd, O.T.
- Hand Occupational Therapist
- Albuquerque, NM
National Provider Identifier
1316989015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 2660
- Practice address
- 4701 Montgomery Blvd NE
Albuquerque, NM 87109-1219 - Phone
- (505) 727-4628
- NPI assigned
- Jun 10, 2006
- Last updated
- Mar 19, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 103124 | TX | |
| Hand Occupational Therapist | 225XH1200X | 2660 | NM | Primary |
Addresses
Primary practice location
4701 Montgomery Blvd NE
Albuquerque, NM 87109-1219
Mailing address
4701 Montgomery Blvd NE
Albuquerque, NM 87109-1219
Phone (505) 727-4628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190325001014 | NM | Practitioner - Occupational Therapist in Private Practice | 4789697087 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2660 | NM | MD | Hand Occupational Therapist |
| 103124 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Waters Physical Therapy | Current | Accepting new patients | |
| Texas Orthopaedic Therapy Specialist PC | Occupational Therapist | Past | Accepting new patients |
Locations
2195 Bosque Farms Blvd
Bosque Farms, NM 87068
Phone (505) 369-8447
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.
-
- Physical Therapy Clinic/Center
- Bosque Farms, NM
- NPI 1366847725
-
dba Texas Orthopaedic Therapy Specialists
- Physical Therapist
- El Paso, TX
- NPI 1841232485
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268956800000",
"number": "1316989015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 MONTGOMERY BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091219",
"telephone_number": "505-727-4628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 MONTGOMERY BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091219",
"telephone_number": "505-727-4628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "LOUISA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-10",
"last_updated": "2010-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "103124",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "NM",
"license": "2660",
"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 Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.