Lyndsey Riordan, MOT, OTR/L
Individual provider Active NPI Occupational Therapist · Rio Rancho, NM
NPI 1720701477 · NPPES record last updated Sep 19, 2022
Key facts
- NPI
- 1720701477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT4666 (NM)
- Practice address
- 1316 Jackie Rd SE Ste 900
Rio Rancho, NM 87124-6612 - Phone
- (505) 289-1042
- Fax
- (505) 466-5895
- NPI assigned
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221011001152 | NM | Practitioner - Occupational Therapist in Private Practice | 2769868058 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT4666 | NM | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trauma Treatment Center LLC | Occupational Therapist | Current |
Accepting new patients |
Locations
1316 Jackie Rd SE
Ste 900
Rio Rancho, NM 87124
Phone (505) 289-1042
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT4666 | NM | Yes |
Addresses
Primary practice location
1316 Jackie Rd SE Ste 900
Rio Rancho, NM 87124-6612
Mailing address
1316 Jackie Rd SE Ste 900
Rio Rancho, NM 87124-6612
Phone (505) 289-1042
Other providers in Rio Rancho, NM
- Rio Rancho Public Schools
- Rio Rancho Public Schools
- Rio Rancho Public Schools
- Rio Rancho Smiles
- Rio Rancho Smiles, LLC
- Ginger Rippey
- Gregoria Kay Rirou
- Rise Chiropractic LLC
- Jessica Risinger
- Risk to Bloom Therapy, LLC
All providers in Rio Rancho, NM · Occupational Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.