Active NPI
Amigos Therapy Center
- Developmental Disabilities Clinic/Center
- Las Cruces, NM
National Provider Identifier
1558752113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Legal business name
- AMIGOS THERAPY CENTER
- Practice address
- 130 W Madrid Ave
Las Cruces, NM 88005-1704 - Phone
- (575) 993-2052
- NPI assigned
- Feb 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Fatima Ema Ray
- Title
- Director/Owner
- Phone
- (575) 993-2052
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | NM | ||
| Occupational Therapy Assistant | 224Z00000X | NM | ||
| Pediatric Physical Therapist | 2251P0200X | NM | ||
| Recreation Therapist | 225800000X | NM | ||
| Occupational Therapist | 225X00000X | |||
| Low Vision Occupational Therapist | 225XL0004X | NM | ||
| Pediatric Occupational Therapist | 225XP0200X | NM | ||
| Speech-Language Pathologist | 235Z00000X | NM | ||
| Developmental Disabilities Clinic/Center | 261QD1600X | NM | Primary |
Addresses
Primary practice location
130 W Madrid Ave
Las Cruces, NM 88005-1704
Mailing address
4895 River Heights Dr
Las Cruces, NM 88007-5610
Phone (575) 993-2052
National Provider Directory
National Provider DirectoryLocations
130 W Madrid Ave
Las Cruces, NM 88005
Phone (575) 222-1474
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Las Cruces, NM
- NPI 1396178976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424131200000",
"number": "1558752113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4895 RIVER HEIGHTS DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880075610",
"telephone_number": "575-993-2052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W MADRID AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880051704",
"telephone_number": "575-993-2052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMIGOS THERAPY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-17",
"last_updated": "2015-02-17",
"status": "A",
"authorized_official_last_name": "RAY",
"authorized_official_first_name": "FATIMA",
"authorized_official_middle_name": "EMA",
"authorized_official_title_or_position": "DIRECTOR/OWNER",
"authorized_official_telephone_number": "575-993-2052",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Developmental Therapist",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Recreation Therapist",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XL0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Low Vision",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.