NPIMap

Individual provider Active NPI

Eric Cessna Lanphere, OTR/L

  • Occupational Therapist
  • Corrales, NM
National Provider Identifier
1861795304
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1933 Issued in NM
Practice address
173 El Camino Campo
Corrales, NM 87048-7518
Phone
(505) 890-4117
Fax
(505) 890-8345
NPI assigned
Dec 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1933 NM Primary

Addresses

Primary practice location

173 El Camino Campo
Corrales, NM 87048-7518

Mailing address

173 El Camino Campo
Corrales, NM 87048-7518
Phone (505) 890-4117

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

LicenseStateTypeSpecialty
1933NMMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Four Point Therapy, LLC Occupational Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1861795304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 EL CAMINO CAMPO",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870487518",
            "telephone_number": "505-890-4117",
            "fax_number": "505-890-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 EL CAMINO CAMPO",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870487518",
            "telephone_number": "505-890-4117",
            "fax_number": "505-890-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANPHERE",
        "first_name": "ERIC",
        "middle_name": "CESSNA",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "1933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corrales, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.