Active NPI
Rhonda Joann Lee, OT
- Occupational Therapist
- Angel Fire, NM
National Provider Identifier
1053534818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 678
- Practice address
- 54 Golfview Ter
Angel Fire, NM 87710-8187 - Phone
- (575) 603-7185
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 678 | NM | Primary |
Addresses
Primary practice location
54 Golfview Ter
Angel Fire, NM 87710-8187
Mailing address
PO Box 1213
Angel Fire, NM 87710-1213
Phone (505) 603-7185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000Z3193 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 678 | NM | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taos Physical Therapy, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Taos, NM
- NPI 1205934619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1053534818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1213",
"city": "ANGEL FIRE",
"state": "NM",
"postal_code": "877101213",
"telephone_number": "505-603-7185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 GOLFVIEW TER",
"city": "ANGEL FIRE",
"state": "NM",
"postal_code": "877108187",
"telephone_number": "575-603-7185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "RHONDA",
"middle_name": "JOANN",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "678",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000Z3193",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Angel Fire, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.