Robert Hinman, COTA
Individual provider Active NPI Occupational Therapy Assistant · Placitas, NM
NPI 1780004077 · NPPES record last updated Apr 24, 2014
Key facts
- NPI
- 1780004077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 212607 (TX)
- Practice address
- 14 Puesta del Sol
Placitas, NM 87043-8825 - Phone
- (505) 615-1453
- NPI assigned
- Apr 24, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212607 | TX | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 212607 | TX | Yes |
Addresses
Primary practice location
14 Puesta del Sol
Placitas, NM 87043-8825
Mailing address
14 Puesta del Sol
Placitas, NM 87043-8825
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3824880776 | Medicaid | NM |
Other providers in Placitas, NM
- Aaron Foster
- Jeffrey Alan Franken
- Irene Gale
- Mike Lee Gallegos
- Sally Rae Goble
- Nadine Marie Hober
- Integrity Orthotics and Prosthetics LLC
- Annette Jacks
- Herbert Koffler
- Kristin Kotkowski
All providers in Placitas, NM · Occupational Therapy Assistant 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 Apr 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.