The Therapy Academy, Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

THE THERAPY ACADEMY, INC

Practice address

196 E Historic Highway 66
Gallup, NM 87301-6232

Phone

(505) 879-2213

NPI assigned

Jul 1, 2022

Organization subpart

No

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

Authorized official

Name

Nicole Olsin

Title

Secretary/Cfo

Phone

(310) 428-7197

Specialties & licenses 1

Addresses

Electronic endpoints 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Renee Vigil-Olsin, MA, CCC-SLP

  • Speech-Language Pathologist
  • Los Angeles, CA
  • NPI 1396982054
  NPD

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1417680075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 E HISTORIC HIGHWAY 66",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 E HISTORIC HIGHWAY 66",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016232",
            "telephone_number": "505-879-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THERAPY ACADEMY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "OLSIN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "SECRETARY/CFO",
        "authorized_official_telephone_number": "310-428-7197"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "address_1": "196 E Historic Highway 66",
            "city": "Gallup",
            "state": "NM",
            "country_code": "US",
            "postal_code": "873016232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "address_1": "196 E Historic Highway 66",
            "city": "Gallup",
            "state": "NM",
            "country_code": "US",
            "postal_code": "873016232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joshua Telfer, DPT
• Bruce D. Tempest, MD
• Peter Tempest, MD
• Cassandra Tenney
• Elizabeth Terrill, LPCC
• Therapy Mobz LLC
• Alicia Thibodeaux, O.D.
• Jessica Caroline Thienes, DNP, APRN, CNM
• Velma Thinn, RN
• Lilian Thoi, OD

• Early Intervention Provider Agency in Gallup, NM
• Providers in Gallup, NM by specialty
• Early Intervention Provider Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.