Individual provider Active NPI

Todd P. Dubas, COTA/L

  • Occupational Therapy Assistant
  • Hobbs, NM
National Provider Identifier
1588970818
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2396 Issued in NM
Practice address
1019 E Bender Blvd
Hobbs, NM 88240-2415
Phone
(575) 433-0600
Fax
(575) 433-0607
NPI assigned
Aug 24, 2010
Last updated
Aug 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2396 NM Primary

Addresses

Primary practice location

1019 E Bender Blvd
Hobbs, NM 88240-2415

Mailing address

4008 N Grimes St # 247
Hobbs, NM 88240-0903
Phone (505) 507-2424

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
2396NMMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1588970818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 N GRIMES ST # 247",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882400903",
            "telephone_number": "505-507-2424",
            "fax_number": "575-433-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 E BENDER BLVD",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882402415",
            "telephone_number": "575-433-0600",
            "fax_number": "575-433-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBAS",
        "first_name": "TODD",
        "middle_name": "P.",
        "name_prefix": "Mr.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NM",
            "license": "2396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobbs, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.