NPIMap

Organization Active NPI

Four13 Therapy Services, LLC

  • Occupational Therapist
  • Los Lunas, NM
National Provider Identifier
1790213452
Registry record updated May 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3327 Issued in NM
Legal business name
FOUR13 THERAPY SERVICES, LLC
Practice address
24 Frances Rd
Los Lunas, NM 87031-5762
Phone
(505) 314-6116
Fax
(505) 214-5016
NPI assigned
May 25, 2017
Last updated
May 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2017

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

Authorized official

Name
Nicole Aurand-AndesNPI 1194116244
Title
Owner/Operator
Phone
(505) 314-6116

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3327 NM Primary

Addresses

Primary practice location

24 Frances Rd
Los Lunas, NM 87031-5762

Mailing address

24 Frances Rd
Los Lunas, NM 87031-5762

Other identifiers 1

IdentifierTypeStateIssuer
1194116244MedicaidNM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495670400000",
    "number": "1790213452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANCES RD",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870315762",
            "fax_number": "505-214-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 FRANCES RD",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870315762",
            "telephone_number": "505-314-6116",
            "fax_number": "505-214-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR13 THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-25",
        "last_updated": "2017-05-25",
        "status": "A",
        "authorized_official_last_name": "AURAND-ANDES",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "505-314-6116"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "3327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194116244",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Lunas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; 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.