Active NPI
Harrison Eraste Guillory, MOTR/L
- Occupational Therapist
- Albuquerque, NM
National Provider Identifier
1841446598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2399
- Practice address
- 5531 Amistad Rd NE
Albuquerque, NM 87111-1549 - Phone
- (505) 238-9377
- NPI assigned
- Aug 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2399 | NM | Primary |
| Neurorehabilitation Occupational Therapist | 225XN1300X | 2399 | NM | |
| Pediatric Occupational Therapist | 225XP0200X | 2399 | NM |
Addresses
Primary practice location
5531 Amistad Rd NE
Albuquerque, NM 87111-1549
Mailing address
5531 Amistad Rd NE
Albuquerque, NM 87111-1549
Phone (505) 238-9377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2399 | NM | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218585600000",
"number": "1841446598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5531 AMISTAD RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871111549",
"telephone_number": "505-238-9377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5531 AMISTAD RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871111549",
"telephone_number": "505-238-9377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLORY",
"first_name": "HARRISON",
"middle_name": "ERASTE",
"name_prefix": "Mr.",
"credential": "MOTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-13",
"last_updated": "2008-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "2399",
"primary": true
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "NM",
"license": "2399",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NM",
"license": "2399",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.