Individual provider Active NPI

Darla O Nore, OTR.L.

  • Occupational Therapist
  • Albuquerque, NM
National Provider Identifier
1952431322
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1129 Issued in NM
Practice address
4612 Jupiter St NW
Albuquerque, NM 87107-3945
Phone
(505) 342-0245
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1129 NM Primary

Addresses

Primary practice location

4612 Jupiter St NW
Albuquerque, NM 87107-3945

Mailing address

4612 Jupiter St NW
Albuquerque, NM 87107-3945
Phone (505) 342-0245

Other identifiers 1

IdentifierTypeStateIssuer
Q6974MedicaidNM

Other names 1

  • Darla J Ortiz Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1129NMMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1952431322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 JUPITER ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073945",
            "telephone_number": "505-342-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 JUPITER ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073945",
            "telephone_number": "505-342-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORE",
        "first_name": "DARLA",
        "middle_name": "O",
        "credential": "OTR.L.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "1129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q6974",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARLA",
            "last_name": "ORTIZ",
            "middle_name": "J",
            "credential": "OTR.L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.