Sallie Roxanne Roe, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

446 Issued in NM

Practice address

4308 Carlisle Blvd NE
Suite 209
Albuquerque, NM 87107-4856

Phone

(505) 828-0232

Fax

(505) 823-1051

NPI assigned

Feb 5, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Sallie Roxanne Ewald Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Advantage Home Care, Inc.

  • Primary Care Nurse Practitioner
  • Albuquerque, NM
  • NPI 1205887452
  NPD (past)
• Communication Mobility Independence

  • Physical Therapist
  • Albuquerque, NM
  • NPI 1689724551
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144369208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11313 NASSAU DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112656",
            "telephone_number": "505-294-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 CARLISLE BLVD NE",
            "address_2": "SUITE 209",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074856",
            "telephone_number": "505-828-0232",
            "fax_number": "505-823-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "SALLIE",
        "middle_name": "ROXANNE",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLIE",
            "last_name": "EWALD",
            "middle_name": "ROXANNE",
            "prefix": "MISS",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Joseph Rodriguez, M.A.
• Yuliana Itiel Rodriguez
• Yvonne Marie Rodriguez, MSW
• Jacqueline Anne Rodwick, FNP-BC
• Katherine A Roe Sainz, LPCC
• Sandra Kay Roe, RDH, MS
• Tommy Gene Roe, DPM
• Christine Roehl
• Alexandra Morgan Roesch
• Julia Roeseberg, RN

• Occupational Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Occupational Therapist in New Mexico

• 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.

Verify at the official NPI Registry.