Organization Active NPI

Tal Therapies LLC

Doing business as Harvest Moon Therapy

  • Occupational Therapist
  • Santa Fe, NM
National Provider Identifier
1679118707
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
TAL THERAPIES LLC
Doing business as
Harvest Moon Therapy
Practice address
150 S Saint Francis Dr
Santa Fe, NM 87501-2445
Phone
(575) 770-5836
Fax
(505) 982-0732
NPI assigned
Nov 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Authorized official

Name
Ms. Teresa Ann Lifvergren, OTL/R
Title
Owner/ Occupational Therapist
Phone
(575) 770-5360

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

150 S Saint Francis Dr
Santa Fe, NM 87501-2445

Mailing address

238 Ambrosio St Apt 1
Santa Fe, NM 87501-2868
Phone (575) 770-5836

Other names 1

  • Harvest Moon Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

150 S Saint Francis Dr
Santa Fe, NM 87501
Phone (505) 257-5253

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1679118707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 AMBROSIO ST APT 1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012868",
            "telephone_number": "575-770-5836",
            "fax_number": "505-982-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S SAINT FRANCIS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012445",
            "telephone_number": "575-770-5836",
            "fax_number": "505-982-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAL THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "LIFVERGREN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/ OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "575-770-5360",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTL/R"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harvest Moon Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 13, 2019; 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.