NPIMap

Organization Active NPI

Functional Playground Therapies LLC

  • Occupational Therapist
  • Albuquerque, NM
National Provider Identifier
1679155295
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
FUNCTIONAL PLAYGROUND THERAPIES LLC
Practice address
9577 Osuna Rd NE Ste B
Albuquerque, NM 87111-2286
Phone
(505) 263-0583
Fax
(505) 317-2532
NPI assigned
Apr 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Authorized official

Name
Talia Houser, OTNPI 1215486840
Title
Owner
Phone
(505) 263-0583

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

9577 Osuna Rd NE Ste B
Albuquerque, NM 87111-2286

Mailing address

8205 Portales St NE
Albuquerque, NM 87109-4955
Phone (505) 263-0583

National Provider Directory

National Provider Directory

Locations

5345 Wyoming Blvd NE
Ste 108
Albuquerque, NM 87109
Phone (505) 537-9906

8100 Wyoming Blvd NE
Ste M4802
Albuquerque, NM 87113
Phone (505) 263-0583

3409 Highway 47
#4
Los Lunas, NM 87031

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1679155295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 PORTALES ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094955",
            "telephone_number": "505-263-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9577 OSUNA RD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112286",
            "telephone_number": "505-263-0583",
            "fax_number": "505-317-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL PLAYGROUND THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "HOUSER",
        "authorized_official_first_name": "TALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-263-0583",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 22, 2022; 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.