Individual provider Active NPI

Carol L Maupin-Macias, OTR

  • Occupational Therapist
  • Santa Teresa, NM
National Provider Identifier
1912036278
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
107317 Issued in TX
Practice address
1300 Country Club Rd
Suite C
Santa Teresa, NM 88008-9449
Phone
(575) 589-0303
Fax
(575) 589-4080
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 107317 TX Primary
Occupational Therapist 225X00000X 2123 NM

Addresses

Primary practice location

1300 Country Club Rd
Suite C
Santa Teresa, NM 88008-9449

Mailing address

1300 Country Club Rd
Suite C
Santa Teresa, NM 88008-9449
Phone (575) 589-0303

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2123NMMDVeterinarian
107317TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Therapy Solutions LLC PastSince Jul 25, 2007 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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1912036278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 COUNTRY CLUB RD",
            "address_2": "SUITE C",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089449",
            "telephone_number": "575-589-0303",
            "fax_number": "575-589-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 COUNTRY CLUB RD",
            "address_2": "SUITE C",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089449",
            "telephone_number": "575-589-0303",
            "fax_number": "575-589-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUPIN-MACIAS",
        "first_name": "CAROL",
        "middle_name": "L",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "107317",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "2123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Teresa, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.