Active NPI
Susan Anne Rathbun
- Occupational Therapist
- Rio Rancho, NM
National Provider Identifier
1154447613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 078
- Practice address
- 500 Laser Dr NE
Rio Rancho, NM 87124-4517 - Phone
- (505) 896-0667
- NPI assigned
- Mar 22, 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 | 078 | NM | Primary |
Addresses
Primary practice location
500 Laser Dr NE
Rio Rancho, NM 87124-4517
Mailing address
8101 Rancho Cielo NW
Albuquerque, NM 87120-1429
Phone (505) 899-4632
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00071045 | 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 |
|---|---|---|---|
| 078 | NM | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rio Rancho Public Schools | 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.
-
- Local Education Agency (LEA)
- Rio Rancho, NM
- NPI 1043365398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154447613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8101 RANCHO CIELO NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871201429",
"telephone_number": "505-899-4632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 LASER DR NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871244517",
"telephone_number": "505-896-0667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATHBUN",
"first_name": "SUSAN",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "078",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00071045",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, 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.