KENNETH J CORDOVA (NPI# 1891841540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891841540 |
| Entity Type | Individual |
| Full Name | KENNETH J CORDOVA |
| Credential | MOTRL |
| Practice Address |
2916 Dorothy St Ne Albuquerque NM 87112-1619 |
| Mailing Address |
Po Box 53363 Albuquerque NM 87153-3363 |
| Practice Telephone | 5052444175 |
| Practice Fax Number | 5053323043 |
| Mailing Telephone | 5057309540 |
| Mailing Fax Number | 5053323043 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2009-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 2214 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 46131264 | 05 |
| Street Address |
2916 DOROTHY ST NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87112-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999411 | Lynn Eileen Riley | Counselor | 10205 Stovall Pl Ne, Albuquerque, NM 87112 | 2019-08-30 |
| 1548818222 | Cindy D Montoya | Technician | 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 | 2019-08-27 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| 1316416837 | New Beginning Counseling Services Inc | Counselor | 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 | 2018-11-14 |
| 1306365929 | Calyx Institute LLC | Social Worker | 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 | 2017-09-14 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1508303140 | Makena Bailey Nash | Behavior Technician | 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 | 2017-01-20 |
| 1477978906 | Albert R Toya | Massage Therapist | 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 | 2014-02-20 |
| 1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
| Find all providers in zip 87112 | ||||
| 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 |
|---|---|---|---|---|
| 1568060432 | On The Map Therapy Servies LLC | Occupational Therapist | 7008 Calle Almeria Ne, Albuquerque, NM 87113-1095 | 2020-10-13 |
| 1750994216 | David Gleghorn | Occupational Therapist | 601 Arno St Se, Albuquerque, NM 87102-3903 | 2020-08-25 |
| 1407470008 | Maria Christine Soller | Occupational Therapist | 312 Broadway Blvd Ne, Albuquerque, NM 87102-3436 | 2020-05-31 |
| 1962031898 | Linda Wildemann | Occupational Therapist | 2709 Pan American Fwy Ne Ste J, Albuquerque, NM 87107-1650 | 2020-04-03 |
| 1932730686 | Kristin Kara White | Occupational Therapist | 708 California St Se, Albuquerque, NM 87108-3708 | 2020-01-31 |
| 1629610597 | Cima Ventures, LLC | Occupational Therapist | 10131 Coors Blvd Nw Ste H7, Albuquerque, NM 87114-4048 | 2019-10-11 |
| 1538717400 | Leighan Collins | Occupational Therapist | 618 Madison St Ne Apt B, Albuquerque, NM 87110-6274 | 2019-09-03 |
| 1215599725 | Michael Johnathan Miller | Occupational Therapist | 3131 Adams St Ne Apt E28, Albuquerque, NM 87110-8027 | 2019-07-03 |
| 1588220826 | Beverly Nicole Apodaca | Occupational Therapist | 6313 Barnhart St Ne, Albuquerque, NM 87109-3510 | 2019-05-13 |
| 1679137889 | Aubrey Alexander | Occupational Therapist | 8224 Dellwood Rd Ne, Albuquerque, NM 87110-2416 | 2019-04-24 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87112 |
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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.