NPIMap

Organization Active NPI

MK Therapy Services

  • Occupational Therapist
  • Rio Rancho, NM
National Provider Identifier
1366717696
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1421 Issued in NM
Legal business name
MK THERAPY SERVICES
Practice address
1448 Monterrey Rd NE
Rio Rancho, NM 87144-1573
Phone
(505) 681-0519
NPI assigned
Mar 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Ms. Lisa Jill Mick, OTR/L
Title
Owner
Phone
(505) 681-0519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 1421 NM Primary

Addresses

Primary practice location

1448 Monterrey Rd NE
Rio Rancho, NM 87144-1573

Mailing address

1448 Monterrey Rd NE
Rio Rancho, NM 87144-1573
Phone (505) 681-0519

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1366717696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 MONTERREY RD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871441573",
            "telephone_number": "505-681-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 MONTERREY RD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871441573",
            "telephone_number": "505-681-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "MICK",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-681-0519",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "1421",
            "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 Mar 21, 2012; 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.