Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

State of New Mexico

Organization Occupational Therapy Assistant · NPI 1124180419

State of New Mexico is an Occupational Therapy Assistant in Las Vegas, New Mexico. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
5

Practice location Address checks out

3695 Hot Springs Blvd
Las Vegas, NM 87701-9549
Phone: (505) 454-2100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapy Assistant Taxonomy 224Z00000X
Physical Therapy Assistant Taxonomy 225200000X
Occupational Therapist Taxonomy 225X00000X
Audiologist Taxonomy 231H00000X

Record details

NPI number1124180419
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Jaramillo — Finance Director · (505) 454-2306
NPI enumeratedDecember 14, 2006
Last updated in NPPESJune 2, 2009
Mailing address3695 Hot Springs Blvd., Las Vegas, NM 87701-9549

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