Active NPI
Laura Rhoda Davis, OT
- Occupational Therapist
- Arroyo Hondo, NM
National Provider Identifier
1346797883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1194
- Practice address
- 10 Mesa Sea Rd
Arroyo Hondo, NM 87513 - Phone
- (575) 779-6682
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- 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 | 1194 | NM | Primary |
Addresses
Primary practice location
10 Mesa Sea Rd
Arroyo Hondo, NM 87513
Mailing address
PO Box 1785
El Prado, NM 87529-1785
Phone (575) 779-6682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251125001138 | NM | Practitioner - Occupational Therapist in Private Practice | 1951893114 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Espanola Sports Medicine PA
Practice addresses (Care Compare)
708 La Joya St
Espanola, NM 87532-2511
Phone (505) 753-6550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1194 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Espanola Sports Medicine, PA | Current | Accepting new patients |
Locations
708 La Joya St
Espanola, NM 87532
Phone (505) 753-6550
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1346797883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1785",
"city": "EL PRADO",
"state": "NM",
"postal_code": "875291785",
"telephone_number": "575-779-6682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MESA SEA RD",
"city": "ARROYO HONDO",
"state": "NM",
"postal_code": "87513",
"telephone_number": "575-779-6682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LAURA",
"middle_name": "RHODA",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "1194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arroyo Hondo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.