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EASI THERAPY & DIAGNOSTIC SERVICES INC. NPI 1114950649


NPI Information

NPI: 1114950649
Provider Name: EASI THERAPY & DIAGNOSTIC SERVICES INC.

Former Legal Business Name: EDUCATIONAL ASSESSMENT SYSTEMS, INC.

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
5200 COPPER AVE NE
ALBUQUERQUE, NM
ZIP 87108
Phone: (505) 255-5099
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EASI THERAPY & DIAGNOSTIC SERVICES INC. is a specialist in Albuquerque, NM. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EASI THERAPY & DIAGNOSTIC SERVICES INC. NPI is 1114950649. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Educational Assessment Systems, Inc..

The provider's business location address is:

5200 COPPER AVE NE
ALBUQUERQUE, NM
ZIP 87108-473
Phone: (505) 255-5099
Fax: (505) 255-4206

The provider's authorized official is Ruth Lynn Miller .
The authorized official title is Cao and has the following contact phone number (505) 255-5099.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 9/28/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225X00000XOccupational TherapistNo
2225XP0200XOccupational TherapistPediatricsNo
3225100000XPhysical TherapistNo
42251P0200XPhysical TherapistPediatricsNo
5235Z00000XSpeech-Language PathologistNo
6174400000XSpecialistPT0004990NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1800521192MEDICARE PINNEW MEXICO
2D3604MEDICAIDNEW MEXICO
3Z4215MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.