Active NPI
Imagine Therapies, LLC
- Music Therapist
- San Antonio, TX
National Provider Identifier
1780901702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 06122
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Brooke Doegey Cortez, MT-BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 44621 | TX | |
| Music Therapist | 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 DirectoryPractitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Music Therapist
- San Antonio, TX
- NPI 1821315813
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.