Active NPI
Anthony Gustamantes, MOTR/L
- Occupational Therapist
- Rio Rancho, NM
National Provider Identifier
1346639770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT4637
- Practice address
- 701 Unser Blvd SE Ste 9
Rio Rancho, NM 87124-6370 - Phone
- (505) 892-7733
- Fax
- (505) 892-9341
- NPI assigned
- Jan 22, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | OT4637 | NM | Primary |
Addresses
Primary practice location
701 Unser Blvd SE Ste 9
Rio Rancho, NM 87124-6370
Mailing address
6239 Sierra Nevada Cir NW
Albuquerque, NM 87114
Phone (505) 573-8105
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1346639770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6239 SIERRA NEVADA CIR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87114",
"telephone_number": "505-573-8105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 UNSER BLVD SE STE 9",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871246370",
"telephone_number": "505-892-7733",
"fax_number": "505-892-9341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUSTAMANTES",
"first_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "MOTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-22",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "OT4637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.