Laura J. Visanko, MOTR/L

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

731 Issued in NM

Practice address

4151 Camino Coyote
Suite a
Las Cruces, NM 88011-5111

Phone

(575) 522-0484

Fax

(575) 522-0483

NPI assigned

Jul 30, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Millennium Chiropractic PCGroup PAC ID 4082615190, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Millennium Health & Wellness Inc

  • Family Nurse Practitioner
  • Las Cruces, NM
  • NPI 1356453328
  Medicare reassignment Care Compare group NPD
• Physical Therapy and Rehabilitation Services of Las Cruces, LLC

  • Physical Therapy Clinic/Center
  • Las Cruces, NM
  • NPI 1740733377
  Medicare reassignment NPD

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1972518637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 CAMINO COYOTE",
            "address_2": "SUITE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117096",
            "telephone_number": "575-522-0484",
            "fax_number": "575-522-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 CAMINO COYOTE",
            "address_2": "SUITE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115111",
            "telephone_number": "575-522-0484",
            "fax_number": "575-522-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISANKO",
        "first_name": "LAURA",
        "middle_name": "J.",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NM",
            "license": "731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTH PLAN",
            "identifier": "PROVP16915",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79400507",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NM00Q038",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vine & Branch Behavioral Health, LLC
• Alana Vines
• Stephen Vinge, MD
• Arream Allexi Viola
• Geoffrey Viracocha, RN
• Anthony Viscon, APRN
• Visionworks, Inc
• Vista Eye Care LLC
• Vista Surgical Associates
• Nerissa Viswanathan

• Hand Occupational Therapist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Hand Occupational Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.