Practical Therapy Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

FA0053722 Issued in NM

Legal business name

PRACTICAL THERAPY INC.

Practice address

8147 Westover PL NW
Albuquerque, NM 87120-5529

Phone

(505) 980-9477

Fax

(505) 867-1392

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Jennifer Cordova

Title

Owner

Phone

(505) 980-9477

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508067349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8147 WESTOVER PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871205529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8147 WESTOVER PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871205529",
            "telephone_number": "505-980-9477",
            "fax_number": "505-867-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-980-9477"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "FA0053722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice E Powsner, R.N.C.S.
• Riemer Charles Praamsma, MD
• Marleen Marie Praay
• Kusum R Prabhakar, MD
• Sangeetha Prabhakaran, MD
• Alyssa D Prado, OTD
• Lydia Esther Prado, M.D.
• Kim Raleigh Prairie, CNM
• Regina Prairie
• Prakash Dentistry, LLC

• Specialist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.