Active NPI
Alfonso Terrazas, ATP
- Assistive Technology Practitioner Rehabilitation Counselor
- Albuquerque, NM
National Provider Identifier
1700167939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Practitioner Rehabilitation Counselor
- License
- 4622
- Practice address
- 611 Osuna Rd NE
Albuquerque, NM 87113-1028 - Phone
- (505) 888-6500
- NPI assigned
- Sep 1, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistive Technology Practitioner Rehabilitation Counselor | 225CA2400X | 4622 | NM | Primary |
Addresses
Primary practice location
611 Osuna Rd NE
Albuquerque, NM 87113-1028
Mailing address
611 Osuna Rd NE
Albuquerque, NM 87113-1028
Phone (505) 888-6500
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4622 | NM | MD | Assistive Technology Practitioner Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314835200000",
"number": "1700167939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 OSUNA RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871131028",
"telephone_number": "505-888-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 OSUNA RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871131028",
"telephone_number": "505-888-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRAZAS",
"first_name": "ALFONSO",
"name_prefix": "Mr.",
"credential": "ATP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-01",
"last_updated": "2011-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225CA2400X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
"state": "NM",
"license": "4622",
"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 Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.