La Luz Therapies LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

612 Issued in NM

Legal business name

LA LUZ THERAPIES LLC

Practice address

1337 Gusdorf Rd Ste G
Suite G
Taos, NM 87571-6297

Phone

(575) 758-4337

Fax

(575) 751-1890

NPI assigned

Jun 2, 2014

Last updated

Jun 2, 2014By 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

Ms. Dawn Elizabeth Leland-Heino, PT

Title

Owner

Phone

(575) 770-7078

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Shannen D Gonzales, MOT, OTR/L

  • Occupational Therapist
  • Taos, NM
  • NPI 1861253296
  NPD (past)
• Marie Le Cuyer, COTA

  • Occupational Therapy Assistant
  • Taos, NM
  • NPI 1902392186
  NPD (past)

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1407268923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 GUSDORF RD STE G",
            "address_2": "SUITE G",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716297",
            "telephone_number": "575-758-4337",
            "fax_number": "575-751-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 GUSDORF RD STE G",
            "address_2": "SUITE G",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716297",
            "telephone_number": "575-758-4337",
            "fax_number": "575-751-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA LUZ THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "LELAND-HEINO",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-770-7078",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NM",
            "license": "612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demian M Knight, PT
• Patricia Noveck Konrad, MD
• William Kotsch, PHD
• Robert Krueger, PH.D., FICPP
• Lisa Smith Kurkjian
• La Sellepeak RX Delivery and Transportation LLC
• Winny La, PHARMD
• Lacuna Inc
• Karsyn J Lahann, LPCC
• Whitney Lake, LCSW

• Physical Therapy Clinic/Center in Taos, NM
• Providers in Taos, NM by specialty
• Physical Therapy Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.