Real Therapeutics, LLC

Primary specialty

Recreation TherapistTaxonomy code 225800000X

Legal business name

REAL THERAPEUTICS, LLC

Practice address

4527 Galisteo Loop
Las Cruces, NM 88011-4301

Phone

(575) 635-9013

NPI assigned

Oct 10, 2024

Last updated

Oct 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thea Kavanaugh, CTRSNPI 1003635517

Title

Owner/Recreational Therapist

Phone

(575) 635-9013

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thea Carolyn Kavanaugh

  • Recreation Therapist
  • Las Cruces, NM
  • NPI 1003635517
  NPD Authorized official

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1356160873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4527 GALISTEO LOOP",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114301",
            "telephone_number": "575-635-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4527 GALISTEO LOOP",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114301",
            "telephone_number": "575-635-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "KAVANAUGH",
        "authorized_official_first_name": "THEA",
        "authorized_official_title_or_position": "OWNER/RECREATIONAL THERAPIST",
        "authorized_official_telephone_number": "575-635-9013",
        "authorized_official_credential": "CTRS"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Recreation Therapist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Recreation Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.