Indigo Therapy Services, Inc.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

423 Issued in NM

Legal business name

INDIGO THERAPY SERVICES, INC.

Practice address

7103 4TH St NW
Suite C
Albuquerque, NM 87107-6641

Phone

(505) 508-0505

Fax

(505) 508-0505

NPI assigned

Dec 5, 2009

Last updated

Jan 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terry B Dillard

Title

Owner-Vice President

Phone

(505) 508-0505

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 5

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.

• Elizabeth A. Dillard, MS, OTR, L

  • Pediatric Occupational Therapist
  • Albuquerque, NM
  • NPI 1366433450
  NPD (past)
• Stephanie Repp, OTR/L

  • Occupational Therapist
  • Albuquerque, NM
  • NPI 1831620046
  NPD (past)
• Stefanie Russell, S.L.P.

  • Speech-Language Pathologist
  • Albuquerque, NM
  • NPI 1205177086
  NPD (past)
• Ariadne Bazaldua, OTR

  • Occupational Therapist
  • Pharr, TX
  • NPI 1639636178
  NPD (past)
• Kathryn Lilje, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Norco, CA
  • NPI 1659502185
  NPD (past)

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

{
    "created_epoch": "1259971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1831427699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 ACADEMY PARKWAY WEST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094405",
            "telephone_number": "505-508-0505",
            "fax_number": "505-312-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7103 4TH ST NW",
            "address_2": "SUITE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871076641",
            "telephone_number": "505-508-0505",
            "fax_number": "505-508-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-05",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "DILLARD",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER-VICE PRESIDENT",
        "authorized_official_telephone_number": "505-508-0505"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53321006",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Indigo Sun Palliative Care
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• Infectious Diseases and Internal Medicine
• Infectious Diseases and Internal Medicine Associates P.C.
• Infinite Care LLC
• Infinite Possibilities World LLC

• Occupational Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Occupational Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.