Individual provider Active NPI

Elaine J Struthers, PH.D., OTR,L

  • Pediatric Occupational Therapist
  • Las Cruces, NM
National Provider Identifier
1982755658
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
2355 Issued in NM
Practice address
1744 S Triviz Dr
Las Cruces, NM 88001-5103
Phone
(360) 296-8242
Fax
(575) 532-7006
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 2355 NM Primary

Addresses

Primary practice location

1744 S Triviz Dr
Las Cruces, NM 88001-5103

Mailing address

205 W Boutz Rd
BLDG 1
Las Cruces, NM 88005-3259
Phone (575) 532-7000

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2355NMMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Island Occupational Therapy Pediatrics Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1982755658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W BOUTZ RD",
            "address_2": "BLDG 1",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053259",
            "telephone_number": "575-532-7000",
            "fax_number": "575-532-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 S TRIVIZ DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015103",
            "telephone_number": "360-296-8242",
            "fax_number": "575-532-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUTHERS",
        "first_name": "ELAINE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D., OTR,L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NM",
            "license": "2355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.