Victoria Pace, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Moriarty, NM

NPI 1518872225 · NPPES record last updated Aug 17, 2026

Key facts

NPI
1518872225
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OT-2025-0051 (NM)
Practice address
2422 Hwy 333
Moriarty, NM 87035
Phone
(505) 832-4471
NPI assigned
Aug 17, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OT-2025-0051 NM Yes

Addresses

Primary practice location

2422 Hwy 333
Moriarty, NM 87035

Mailing address

14 Salida del Sol TRL
Edgewood, NM 87015-6878

Other providers in Moriarty, NM

All providers in Moriarty, NM · Occupational Therapy Assistant in New Mexico

Sources for this page

Verify at the official NPI Registry.