MISS BRENNA A PEREZ (NPI# 1306342183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306342183 |
| Entity Type | Individual |
| Full Name | MISS BRENNA A PEREZ |
| Credential | OT |
| Practice Address |
4151 Camino Coyote Las Cruces NM 88011-7096 |
| Practice Telephone | 5755220484 |
| Practice Fax Number | 5755220483 |
| Mailing Telephone | 1575522048 |
| Mailing Fax Number | 5755220483 |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 3894 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4151 CAMINO COYOTE |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-7096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972518637 | Laura J. Visanko | Occupational Therapist | 4151 Camino Coyote, Suite A, Las Cruces, NM 88011-5111 | 2006-07-30 |
| 1992327811 | Zia Foot & Ankle | Podiatrist | 4151 Camino Coyote, Las Cruces, NM 88011-7096 | 2020-05-13 |
| 1508374760 | Las Cruces Hospice, LLC | Hospice Care, Community Based | 4151 Camino Coyote, Las Cruces, NM 88011-7096 | 2018-01-22 |
| 1740733377 | Physical Therapy and Rehabilitation Services of Las Cruces, LLC | Clinic/Center | 4151 Camino Coyote, Las Cruces, NM 88011-7096 | 2016-08-01 |
| 1043553670 | Las Cruces Comprehensive Rehabilitation Inc. | Home Health | 4151 Camino Coyote, P.o. 13759, Las Cruces, NM 88011-7096 | 2013-04-02 |
| 1487904132 | Lori A Diaz | Physical Therapist | 4151 Camino Coyote, Suite A, Las Cruces, NM 88011-5111 | 2012-09-10 |
| 1316218910 | Physical Therapy and Rehabilitation Services of Las Cruces, LLC | Clinic/Center | 4151 Camino Coyote, Las Cruces, NM 88011-7096 | 2012-01-13 |
| 1457574352 | Daniel Ferraro | Physical Therapist | 4151 Camino Coyote, Ste. 102, Las Cruces, NM 88011-7096 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1104297597 | Joseph Kirker | Occupational Therapist | 3751 Piedras Negras Dr, Las Cruces, NM 88012-7664 | 2015-10-12 |
| 1275955635 | Mario Gardea | Occupational Therapist | 755 S Telshor Blvd Ste 201a, Las Cruces, NM 88011-8680 | 2014-01-20 |
| 1841547445 | Carla Walker | Occupational Therapist | 1080 Medpark Dr., Ste A, Las Cruces, NM 88005 | 2012-08-14 |
| 1336340843 | Mary P Peschka | Occupational Therapist | 5024 Galina Dr, Las Cruces, NM 88012-9499 | 2007-05-30 |
| 1710442066 | Rogelio Calderon | Occupational Therapist | 1681 Hickory Loop, Las Cruces, NM 88005-6502 | 2019-01-31 |
| 1629559026 | Judy Rogers | Occupational Therapist | 1350 Hillrise Cir, Las Cruces, NM 88011-4759 | 2018-08-23 |
| 1558868968 | Kellie Mcconnell | Occupational Therapist | 1350 Hillrise Cir, Las Cruces, NM 88011-4759 | 2018-04-11 |
| 1376040253 | Jesse J Quinlan | Occupational Therapist | 1350 Hillrise Cir, Las Cruces, NM 88011-4759 | 2018-04-09 |
| 1205362753 | Monica Torrez | Occupational Therapist | 1350 Hillrise Cir, Las Cruces, NM 88011-4759 | 2017-05-03 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
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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.