Painted Sky Therapy LLC

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

Legal business name

PAINTED SKY THERAPY LLC

Practice address

428 Theodora St
Taos, NM 87571-6396

Phone

(575) 779-5319

NPI assigned

Jan 13, 2021

Organization subpart

No

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

Authorized official

Name

Bebe Makena, OTR/L

Title

Owner/Occupational Therapist

Phone

(575) 779-5319

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1750970893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 PASEO DEL PUEBLO NORTE # 114",
            "city": "EL PRADO",
            "state": "NM",
            "postal_code": "875297539",
            "telephone_number": "575-779-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 THEODORA ST",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716396",
            "telephone_number": "575-779-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINTED SKY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "MAKENA",
        "authorized_official_first_name": "BEBE",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "575-779-5319",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.outsiderot.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "428 Theodora St",
            "city": "Taos",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875716396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary E Ortiz, RPH
• Mer Otis, JD MA
• Angelica Pacheco
• Corrina M. Pacheco, LMSW
• Michael Padilla
• Sarah Pak, PHARM.D.
• Alexis Pannell, M.S., CF-SLP
• Michael Parra
• Patricia Passino, BMS
• Kathryn Ann Patrick, PHARM.D

• Occupational Medicine Clinic/Center in Taos, NM
• Providers in Taos, NM by specialty
• Occupational Medicine Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.