Active NPI
Ann Sacks, OT
- Occupational Therapist
- Santa Fe, NM
National Provider Identifier
1083835615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 957
- Practice address
- PVS - 1574
State Road 502
Santa Fe, NM 87501 - Phone
- (505) 455-0801
- Fax
- (505) 455-3023
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 957 | NM | Primary |
Addresses
Primary practice location
PVS - 1574
State Road 502
Santa Fe, NM 87501
Mailing address
P.O.Box 3468
Pojoaquestation
Santa Fe, NM 87501-0468
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K9579 | 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 957 | NM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083835615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O.BOX 3468",
"address_2": "POJOAQUESTATION",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875010468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PVS - 1574",
"address_2": "STATE ROAD 502",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87501",
"telephone_number": "505-455-0801",
"fax_number": "505-455-3023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACKS",
"first_name": "ANN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "K9579",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.