Patricia Bernal
Individual provider Active NPI Occupational Therapist · Silver City, NM
NPI 1871995365 · NPPES record last updated Sep 16, 2014
Key facts
- NPI
- 1871995365
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2655 (NM)
- Practice address
- 2810 N Swan St
Silver City, NM 88061-5853 - Phone
- (575) 956-2043
- Fax
- (575) 956-2055
- NPI assigned
- Sep 16, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2655 | NM | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2655 | NM | Yes |
Addresses
Primary practice location
2810 N Swan St
Silver City, NM 88061-5853
Mailing address
2810 N Swan St
Silver City, NM 88061-5853
Phone (575) 956-2043
NPI Registry JSON
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410825600000",
"number": "1871995365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 N SWAN ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880615853",
"telephone_number": "575-956-2043",
"fax_number": "575-956-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 N SWAN ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880615853",
"telephone_number": "575-956-2043",
"fax_number": "575-956-2055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNAL",
"first_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-16",
"last_updated": "2014-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "2655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver City, NM
- Ruth Sherman Bennett
- Joshua Lawrence Benson
- Jean M. Benzine
- Alan M. Berkowitz
- Jesse Berkowitz
- Jillian Rae Bernstein
- John Berry
- Pratiksha Deenesh Bhaleeya
- Bhisit Bhothinard
- Margaret Billings
All providers in Silver City, NM · Occupational Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.