Pro Social Therapy Services LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

PRO SOCIAL THERAPY SERVICES LLC

Practice address

7517 Deerfield Rd NW
Albuquerque, NM 87120-4532

Phone

(541) 525-6463

NPI assigned

Jan 5, 2023

Last updated

Jan 5, 2023By 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

Luke Mitchell, OTR/LNPI 1861788820

Title

Administrator

Phone

(505) 521-0192

Specialties & licenses 1

Addresses

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.

• Luke Mitchell

  • Occupational Therapist
  • Eugene, OR
  • NPI 1861788820
  NPD Authorized official

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1902510845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7517 DEERFIELD RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204532",
            "telephone_number": "541-525-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7517 DEERFIELD RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204532",
            "telephone_number": "541-525-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO SOCIAL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "505-521-0192",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia L Prior, RN
• Prisca Werbelow
• Prism Inc.
• Sharon Pritchard-Rodriguez, PT
• Aaron E Pritchard, MD
• Alicia Veronica Proa
• James Michael Probasco, MD
• Laura Probst, M.D.
• Corina I. Procell, MD
• Jessica R Prochnow, RNFA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.