Robert J Forbeck, OT

Individual provider Active NPI Occupational Therapist · Raton, NM

NPI 1477089944 · NPPES record last updated Feb 18, 2020

Key facts

NPI
1477089944
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT4261 (NM)
Practice address
1660 Hospital Dr
Raton, NM 87740-2022
Phone
(575) 445-2734
NPI assigned
May 3, 2017
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT4261NMMDOccupational Therapist
116277TXMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 116277 TX
Occupational Therapist 225X00000X OT4261 NM Yes

Addresses

Primary practice location

1660 Hospital Dr
Raton, NM 87740-2022

Mailing address

1660 Hospital Dr
Raton, NM 87740-2022
Phone (575) 445-2734

Other practice location 1

6800 Park Ten Blvd
Suite 200-S
San Antonio, TX 78213-4211
Phone (210) 261-1000

Other providers in Raton, NM

All providers in Raton, NM · Occupational Therapist in New Mexico

Sources for this page

Verify at the official NPI Registry.