MEDICARE: DIVINE INTERVENTIONS OCCUPATIONAL THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225XE0001X	Environmental Modification Occupational Therapist
2	225XE1200X	Ergonomics Occupational Therapist
3	225XH1200X	Hand Occupational Therapist
4	225XL0004X	Low Vision Occupational Therapist
5	225XM0800X	Mental Health Occupational Therapist
6	225XN1300X	Neurorehabilitation Occupational Therapist
7	225XP0019X	Physical Rehabilitation Occupational Therapist
8	225XP0200X	Pediatric Occupational Therapist
9	225XR0403X	Driving and Community Mobility Occupational Therapist
10	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1598311706
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIVINE INTERVENTIONS OCCUPATIONAL THERAPY

Provider Business Mailing Address
First Line	:	423 14TH ST NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87104-1216
Country	:	US
Telephone Number	:	505-264-6752
Fax Number	:

Provider Business Practice Location Address
First Line	:	423 14TH ST NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87104-1216
Country	:	US
Telephone Number	:	505-264-6752
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST
Name	:	GINNY ELISE ROSSBERG
Credential	:	MOTR/L
Telephone Number	:	505-264-6752

Provider Enumeration Date	:	08/13/2019
Last Update Date	:	08/13/2019

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1740296250 — MRS. JULIE POWELL JENKINS M.S., CCC-SLP
Practice Location Address:

1216 PARK AVE SW
ALBUQUERQUE, NM
87102-2840

Practice Phone: 505-242-1047
Practice Fax:

1679647705 — MS. DEBORAH ANN VALVERDE
Practice Location Address:

5301 PONDEROSA AVE NE
ALBUQUERQUE, NM
87110-1216

Practice Phone: 505-881-8982
Practice Fax: 505-872-0392

1992873939 — MS. ELIZABETH LYNN THOMSON PT
Practice Location Address:

1216 WESTERFELD DR NE
ALBUQUERQUE, NM
87112-5263

Practice Phone: 505-239-1781
Practice Fax:

1477606390 — MR. RONALD A GOLDSMITH ACSW, DCSW
Practice Location Address:

1216 ALCAZAR ST NE
ALBUQUERQUE, NM
87110-7108

Practice Phone: 505-232-9516
Practice Fax: 505-232-9516

1659427615 — TOM HOLLEY, MD, INC.
Practice Location Address:

1216 ALCAZAR ST NE , GOLDSMITH
ALBUQUERQUE, NM
87110-7108

Practice Phone: 505-232-9516
Practice Fax: 505-232-9516

Directions to “DIVINE INTERVENTIONS OCCUPATIONAL THERAPY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.