Individual provider Active NPI

Teresa Santos, COTA/L

  • Occupational Therapy Assistant
  • Albuquerque, NM
National Provider Identifier
1497452650
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA4524 Issued in NM
Practice address
2216 Lester Dr NE
Albuquerque, NM 87112-2607
Phone
(505) 296-4808
NPI assigned
Feb 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X FL
Occupational Therapy Assistant 224Z00000X OTA4524 NM Primary

Addresses

Primary practice location

2216 Lester Dr NE
Albuquerque, NM 87112-2607

Mailing address

2216 Lester Dr NE
Albuquerque, NM 87112-2607

Other practice location 1

120 Elzora St
Milton Freewater, OR 97862-9454
Phone (541) 938-3318

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OTA4524NMMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1497452650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 LESTER DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 LESTER DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122607",
            "telephone_number": "505-296-4808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Elzora St",
            "address_purpose": "LOCATION",
            "city": "Milton Freewater",
            "state": "OR",
            "postal_code": "978629454",
            "country_code": "US",
            "telephone_number": "541-938-3318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "TERESA",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NM",
            "license": "OTA4524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.