Individual provider Active NPI

Sarah Renee McMillan, OTR/L

  • Occupational Therapist
  • Rio Rancho, NM
National Provider Identifier
1245590967
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT4383 Issued in NM
Practice address
1316 Jackie Rd SE Ste 900
Rio Rancho, NM 87124-6612
Phone
(505) 466-5895
NPI assigned
May 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2674 NM
Occupational Therapist 225X00000X OT4383 NM Primary

Addresses

Primary practice location

1316 Jackie Rd SE Ste 900
Rio Rancho, NM 87124-6612

Mailing address

1316 Jackie Rd SE Ste 900
Rio Rancho, NM 87124-6612
Phone (505) 466-5895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210603000544 NM Practitioner - Occupational Therapist in Private Practice 6103225651 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2674NMMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trauma Treatment Center LLC Occupational Therapist CurrentSince May 28, 2021 Accepting new patients

Locations

1316 Jackie Rd SE
Ste 900
Rio Rancho, NM 87124
Phone (505) 289-1042

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.

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1245590967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 JACKIE RD SE STE 900",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246612",
            "telephone_number": "505-466-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 JACKIE RD SE STE 900",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246612",
            "telephone_number": "505-466-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "SARAH",
        "middle_name": "RENEE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "2674",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "OT4383",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.