Virginia Nicholls Aldea, OTR/L
Individual provider Active NPI Occupational Therapist · Deming, NM
NPI 1912142316 · NPPES record last updated Dec 14, 2008
Key facts
- NPI
- 1912142316
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2427 (NM)
- Practice address
- 111 N Pearl St
Deming, NM 88030-3835 - Phone
- (575) 544-4663
- Fax
- (575) 544-4665
- NPI assigned
- Dec 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 2427 | NM | MD | Optometrist |
| 111412 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summits Healthcare, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2427 | NM | Yes |
| Occupational Therapist | 225X00000X | 111412 | TX |
Addresses
Primary practice location
111 N Pearl St
Deming, NM 88030-3835
Mailing address
3308 Gila CT
Deming, NM 88030-8673
Phone (575) 545-1913
Other providers in Deming, NM
- Tra Afua Ahia
- Bassam Al Homsi
- Itzel Aldaz
- Jose Miguel Aldea
- Sarah Aldea
- Karen Amaro
- Ambercare Medical Supply Co.
- David Ames
- Pamela Amparano
- Aubry Anaya
All providers in Deming, 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 Dec 14, 2008. 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.