OrganizationActive
The Therapy Academy, Inc
NPI 1417680075 · Early Intervention Provider Agency · Gallup, NM
Provider details
- NPI number
- 1417680075
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Nicole Olsin, Secretary/Cfo(310) 428-7197
Specialties & taxonomies
Agencies
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
196 E Historic Highway 66
Gallup, NM 87301-6232
Phone: (505) 879-2213
Approximate (ZIP-level) locationGet directions
Mailing address
196 E Historic Highway 66
Gallup, NM 87301-6232
Registry dates
- Enumerated
- 2022-07-01
- Last updated
- 2022-07-01
- Certified
- 2022-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.