Individual provider Active NPI

Coby L Livingstone, OTR/L

  • Occupational Therapist
  • Santa Fe, NM
National Provider Identifier
1538201496
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT#0655 Issued in AZ
Practice address
303 E Buena Vista St
Suite 5
Santa Fe, NM 87505-2675
Phone
(505) 259-3672
NPI assigned
Feb 13, 2007
Last updated
Jul 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT#0655 AZ Primary

Addresses

Primary practice location

303 E Buena Vista St
Suite 5
Santa Fe, NM 87505-2675

Mailing address

303 E Buena Vista St
Suite 5
Santa Fe, NM 87505-2675
Phone (505) 259-3672

Other identifiers 4

IdentifierTypeStateIssuer
5515OtherCERTIFIED VISION REHABILITATION THERAPIST
OT#0655OtherAZSTATE LICENSE
1585OtherOKOCCUPATIONAL THERAPIST
3146OtherNMNM OCCUPATIONAL THERAPY LICENSE

Other names 1

  • Ms. Coby L Backoff Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT#0655AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Newview Oklahoma Occupational Therapist Past Accepting new patients
Newview Oklahoma Inc. Occupational Therapist PastSince Nov 17, 2019 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1538201496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E BUENA VISTA ST",
            "address_2": "SUITE 5",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052675",
            "telephone_number": "505-259-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E BUENA VISTA ST",
            "address_2": "SUITE 5",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052675",
            "telephone_number": "505-259-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTONE",
        "first_name": "COBY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OT#0655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED VISION REHABILITATION THERAPIST",
            "identifier": "5515",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OT#0655",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST",
            "identifier": "1585",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM OCCUPATIONAL THERAPY LICENSE",
            "identifier": "3146",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COBY",
            "last_name": "BACKOFF",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.