Organization Active NPI

Imagine Therapies, LLC

  • Music Therapist
  • San Antonio, TX
National Provider Identifier
1780901702
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
License
06122 Issued in TX
Legal business name
IMAGINE THERAPIES, LLC
Practice address
14314 Dusky Thrush
San Antonio, TX 78233-5383
Phone
(210) 995-6918
NPI assigned
Apr 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Mrs. Brooke Doegey Cortez, MT-BCNPI 1821315813
Title
Partner, Executive Director
Phone
(210) 995-6918

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225800000X 44621 TX
Music TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225A00000X 06122 TX Primary

Addresses

Primary practice location

14314 Dusky Thrush
San Antonio, TX 78233-5383

Mailing address

14314 Dusky Thrush
San Antonio, TX 78233-5383
Phone (210) 995-6918

National Provider Directory

National Provider Directory

Practitioners 1

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": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1780901702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14314 DUSKY THRUSH",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782335383",
            "telephone_number": "210-995-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14314 DUSKY THRUSH",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782335383",
            "telephone_number": "210-995-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "CORTEZ",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "DOEGEY",
        "authorized_official_title_or_position": "PARTNER, EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "210-995-6918",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT-BC"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Recreation Therapist",
            "state": "TX",
            "license": "44621",
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": "TX",
            "license": "06122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.