| Laura J Visanko, MOTR/L | |
|
4151 Camino Coyote, Suite A, Las Cruces, NM 88011-5111 | |
| (575) 522-0484 | |
| (575) 522-0483 |
| Full Name | Laura J Visanko |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 31 Years |
| Location | 4151 Camino Coyote, Las Cruces, New Mexico |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972518637 | NPI | - | NPPES |
| PROVP16915 | Other | NM | MOLINA HEALTH PLAN |
| 79400507 | Medicaid | NM | |
| NM00Q038 | Other | NM | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XH1200X | Occupational Therapist - Hand | 731 (New Mexico) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Millennium Chiropractic Pc | 4082615190 | 8 |
| Provider Name | Millennium Chiropractic Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356453328 PECOS PAC ID: 4082615190 Enrollment ID: O20070116000243 |
| Provider Name | Physical Therapy And Rehabilitation Services Of Las Cruces, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1740733377 PECOS PAC ID: 7911280573 Enrollment ID: O20170207000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura J Visanko, MOTR/L 4151 Camino Coyote, Suite A, Las Cruces, NM 88011-7096 Ph: (575) 522-0484 | Laura J Visanko, MOTR/L 4151 Camino Coyote, Suite A, Las Cruces, NM 88011-5111 Ph: (575) 522-0484 |
Kandy J Bracken, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4441 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-521-6470 | |
Ms. Vicki L Bennett, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1005 Lujan Hill Rd, Las Cruces, NM 88007 Phone: 575-523-4573 | |
Kristi Shoaf, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Perkins Dr, Ste C, Las Cruces, NM 88005 Phone: 575-523-7243 Fax: 575-525-5641 | |
Dwell Therapy Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 424 N Main St, Ste 400, Las Cruces, NM 88001 Phone: 575-639-1175 | |
Sarah Elizabeth Schwab, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 505 S Main St, Suite 249, Las Cruces, NM 88001 Phone: 505-527-5823 Fax: 505-527-5886 | |
Joseph Kirker, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3751 Piedras Negras Dr, Las Cruces, NM 88012 Phone: 575-313-4563 | |
Samantha Kristian Perez, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2404 S Locust St Ste 5, Las Cruces, NM 88001 Phone: 575-640-7594 |