Organization Active NPI

Protherapy Inc

  • Occupational Therapist
  • Silver City, NM
National Provider Identifier
1720102098
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1422 Issued in NM
Legal business name
PROTHERAPY INC
Practice address
1214 N Bennett St
Silver City, NM 88061-6502
Phone
(505) 534-1280
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Melanie Ann Ford, OTRNPI 1043218332
Title
Director
Phone
(505) 534-1280

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 1422 NM Primary

Addresses

Primary practice location

1214 N Bennett St
Silver City, NM 88061-6502

Mailing address

1214 N Bennett St
Silver City, NM 88061-6502
Phone (505) 534-1280

Other identifiers 1

IdentifierTypeStateIssuer
17955866MedicaidNM

National Provider Directory

National Provider Directory

Locations

1214 N Bennett St
Silver City, NM 88061
Phone (505) 534-1280

Practitioners & affiliated clinicians

Practitioners 4

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1720102098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 N BENNETT ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880616502",
            "telephone_number": "505-534-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 N BENNETT ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880616502",
            "telephone_number": "505-534-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTHERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-534-1280",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "1422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17955866",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.