Functional Aquatics Therapy

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

1595 Issued in NM

Legal business name

FUNCTIONAL AQUATICS THERAPY

Practice address

818 Menaul Blvd. NW
Albuquerque, NM 87107

Phone

(505) 203-9822

NPI assigned

Aug 30, 2013

Last updated

Aug 30, 2013By 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

Annette Kathy Garcia-Hashimoto, OTR/L

Title

Occupational Therapist

Phone

(505) 203-9822

Specialties & licenses 1

Addresses

Locations

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.

• Annette Kathy Hashimoto

  • Occupational Therapist
  • Albuquerque, NM
  • NPI 1538337753
  NPD

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1447684030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 CUATRO CERROS TRL SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871234146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 MENAUL BLVD. NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87107",
            "telephone_number": "505-203-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL AQUATICS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "GARCIA-HASHIMOTO",
        "authorized_official_first_name": "ANNETTE KATHY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "505-203-9822",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NM",
            "license": "1595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rowena Fuller, LCSW
• Melissa Lee Fullmer, LMT
• Adam Fulton, CSW
• Pamela Angel Fulton, NP
• Shawn Lee Fultz, M.D., J.D., M.P.H.
• Functional Family Medicine
• Functional Movement LLC
• Functional Orthotics & Prosthetics
• Functional Playground Therapies LLC
• Fundamental Therapy Services LLC

• Rehabilitation Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Rehabilitation Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.