Pratibha Anil Nirgudkar, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3070 Issued in NM

Practice address

6301 Forest Hills Dr NE
Presbyterian Healthplex
Albuquerque, NM 87109-4137

Phone

(505) 823-8399

Fax

(505) 823-8324

NPI assigned

Sep 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Presbyterian Healthcare Services

  dba Presbyterian Hospital

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470
  NPD (past)

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1942635834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "address_2": "PHS PROVIDER ENROLLMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256666",
            "telephone_number": "505-923-5483",
            "fax_number": "505-923-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 FOREST HILLS DR NE",
            "address_2": "PRESBYTERIAN HEALTHPLEX",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094137",
            "telephone_number": "505-823-8399",
            "fax_number": "505-823-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIRGUDKAR",
        "first_name": "PRATIBHA",
        "middle_name": "ANIL",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "3070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfredo Stabnick Nino, M.D.
• James T Ninomiya, MD
• Niki Manole Ninopoulos, PA-C
• Julieanne M. Nipp, CFNP
• Itzhak Nir
• Shana Nisenbaum, DO
• Elena Nishimura, MD
• Catherine Nisius
• Jennifir Nissen
• Nitovo Healthcare LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.