Individual provider Active NPI

Annette Kathy Hashimoto

  • Occupational Therapist
  • Albuquerque, NM
National Provider Identifier
1538337753
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1595 Issued in NM
Practice address
904 Cuatro Cerros TRL SE
Albuquerque, NM 87123-4146
Phone
(505) 203-9822
Fax
(505) 323-5065
NPI assigned
Feb 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 1595 NM
Occupational Therapist 225X00000X 1595 NM Primary

Addresses

Primary practice location

904 Cuatro Cerros TRL SE
Albuquerque, NM 87123-4146

Mailing address

904 Cuatro Cerros TRL SE
Albuquerque, NM 87123-4146
Phone (505) 203-9822

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
1595NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Aquatics Therapy Current Accepting new patients

Locations

818 Menaul Blvd NW
Albuquerque, NM 87107
Phone (505) 242-4079

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1538337753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 CUATRO CERROS TRL SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871234146",
            "telephone_number": "505-203-9822",
            "fax_number": "505-323-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 CUATRO CERROS TRL SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871234146",
            "telephone_number": "505-203-9822",
            "fax_number": "505-323-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASHIMOTO",
        "first_name": "ANNETTE",
        "middle_name": "KATHY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NM",
            "license": "1595",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "1595",
            "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 Nov 12, 2024; 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.