MEDICARE: SOUTHWEST PEDIATRIC OCCUPATIONAL THERAPY, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	1467	NM
2	225X00000X	Occupational Therapist	1470	NM

General Provider Information

NPI Number	:	1205268091
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHWEST PEDIATRIC OCCUPATIONAL THERAPY, LLC

Provider Business Mailing Address
First Line	:	2901A LA HABRA ST
Second Line	:
City	:	FARMINGTON
State	:	NM
Zip	:	87401-3718
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2901A LA HABRA ST
Second Line	:
City	:	FARMINGTON
State	:	NM
Zip	:	87401-3718
Country	:	US
Telephone Number	:	505-325-3039
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	MS. ELIZABETH MURPHY
Credential	:	OTR/L
Telephone Number	:	505-325-3039

Provider Enumeration Date	:	08/02/2013
Last Update Date	:	08/02/2013

Similar Medicare Providers

1043642424 — MS. ELIZABETH MURPHY OTR/L
Practice Location Address:

2901A LA HABRA ST
FARMINGTON, NM
87401-3718

Practice Phone: 505-325-3039
Practice Fax:

1699873323 — DR. WILLIAM MICHAEL TRENTLY DMD
Practice Location Address:

10 GREEN ST
FARMINGTON, NH
03835-3718

Practice Phone: 603-755-3707
Practice Fax:

1215626742 — TOTAL TRANSFORMATION COUNSELING, PLLC
Practice Location Address:

28024 GREENING ST
FARMINGTON HILLS, MI
48334-3718

Practice Phone: 248-238-8433
Practice Fax:

1619818200 — MARYAM ABBAS MALIK
Practice Location Address:

801 W. MAPLE STREET
FARMINGTON, NM
87401

Practice Phone: 505-609-2000
Practice Fax: 505-609-2425

1184313777 — MRS. SHARDAI LENAE JRIDI LCSW
Practice Location Address:

1001 W BROADWAY # D&E
FARMINGTON, NM
87401-5638

Practice Phone: 505-327-4796
Practice Fax:

1891396057 — HEATHER SMITH
Practice Location Address:

2301 E 20TH ST
FARMINGTON, NM
87401-8905

Practice Phone: 866-273-2451
Practice Fax: 866-608-5560

Directions to “SOUTHWEST PEDIATRIC OCCUPATIONAL THERAPY, LLC ” 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.