MILAGRO THERAPY SERVICES LLC (NPI# 1124195540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124195540 |
| Entity Type | Organization |
| Organization Name | MILAGRO THERAPY SERVICES LLC |
| Practice Address |
220 Plaza St Las Vegas NM 87701-3433 |
| Mailing Address |
Po Box 253 Las Vegas NM 87701-0253 |
| Practice Telephone | 5056991097 |
| Practice Fax Number | 5054549565 |
| Mailing Telephone | 5056990512 |
| Mailing Fax Number | 5054549565 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. CYNTHIA J BONILLA (OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 5056991097 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 235Z00000X | Speech-Language Pathologist | 2133 | NM | Speech, Language and Hearing Service Providers |
| X | 225100000X | Physical Therapist | 3205 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 225X00000X | Occupational Therapist | 2181 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 16073029 | 05 |
| Street Address |
220 PLAZA ST |
| City | LAS VEGAS |
| State | NM |
| Zip Code | 87701-3433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114055118 | Amanda Herrera | Physical Therapist | 220 Plaza St, Las Vegas, NM 87701-3433 | 2007-03-01 |
| 1952449068 | Cynthia Bonilla | Occupational Therapist | 220 Plaza St, Las Vegas, NM 87701-3433 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851884423 | Nueva Vida Counseling and Consulting Services LLC | Community/Behavioral Health | Nueva Vida Counseling & Consulting Services LLC, 1920 7th Street, Las Vegas, NM 87701 | 2018-06-08 |
| 1316475403 | El Centro Family Health | Family Medicine | 475 Legion Dr., Las Vegas, NM 87701 | 2017-06-01 |
| 1700327384 | Anastacia Sena Jaramillo | Psychologist | 126 Silva Ave., Las Vegas, NM 87701 | 2017-03-15 |
| 1013369222 | Home Medical Equipment Specialists,llc | Durable Medical Equipment & Medical Supplies | 514 8th Street, Las Vegas, NM 87701 | 2016-07-12 |
| 1750730826 | John Michael Tourangeau | Social Worker | 1920 7th Street, Las Vegas, NM 87701 | 2016-06-08 |
| 1154705689 | Lindsy Laura Kragt Allen | Podiatrist | 1608 7th St, Las Vegas, NM 87701 | 2015-07-14 |
| 1023409521 | Ambercare Medical Supply | Durable Medical Equipment & Medical Supplies | 1747 N Grand Ave, Las Vegas, NM 87701 | 2015-02-05 |
| 1538561964 | El Centro Family Health | Clinic/Center | 947 Old National Road, Las Vegas, NM 87701 | 2014-09-17 |
| 1164832150 | Plaza Drugs | Pharmacist | 178 Bridge St, Las Vegas, NM 87701 | 2014-04-30 |
| 1043648165 | Open Doors Home Health Care | Home Health | 713 Railroad Ave., Las Vegas, NM 87701 | 2013-10-29 |
| Find all providers in zip 87701 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699387621 | Voice Specialist LLC | Speech-Language Pathologist | 3701 Paul Deweert Ct, Las Vegas, NV 89129 | 2020-08-20 |
| 1437767365 | Mary Anderson | Speech-Language Pathologist | 2400 S Cimarron Rd Ste 110, Las Vegas, NV 89117-7902 | 2020-07-16 |
| 1801413067 | Jenna M Cazzaro | Speech-Language Pathologist | 9764 Derbyhill Cir, Las Vegas, NV 89117-6683 | 2020-07-02 |
| 1174144877 | Bailey Koebernick | Speech-Language Pathologist | 8856 Brindisi Park Ave, Las Vegas, NV 89148-5901 | 2020-05-04 |
| 1821618612 | Sherry Perucho | Speech-Language Pathologist | 7760 Cape Cod Bay Ct, Las Vegas, NV 89179-1425 | 2020-04-21 |
| 1528687605 | Monika Radom-davis | Speech-Language Pathologist | 2820 W Charleston Blvd Ste 38, Las Vegas, NV 89102-1934 | 2020-04-09 |
| 1528694866 | Hazel Lacanienta | Speech-Language Pathologist | 11731 Longworth Rd, Las Vegas, NV 89135-1322 | 2020-03-18 |
| 1861024333 | Kayla Mccourt | Speech-Language Pathologist | 9436 Steeplehill Dr, Las Vegas, NV 89117-7270 | 2020-02-12 |
| 1912547951 | Affordable Therapy Services LLC | Speech-Language Pathologist | 9494 W Flamingo Rd Ste 103, Las Vegas, NV 89147-5718 | 2020-01-07 |
| 1619514486 | Jordan Rice Foldes | Speech-Language Pathologist | 573 Halloran Springs Rd, Las Vegas, NV 89148-4469 | 2019-11-29 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.