Individual provider Active NPI

Jon Caleb Sarli, COTA/L, CDRS

  • Occupational Therapy Assistant
  • Albuquerque, NM
National Provider Identifier
1275484131
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA3125 Issued in NM
Practice address
4263 Montgomery Blvd NE Ste 235
Albuquerque, NM 87109-6734
Phone
(480) 449-3331
Fax
(855) 449-4533
NPI assigned
Feb 6, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA3125 NM Primary

Addresses

Primary practice location

4263 Montgomery Blvd NE Ste 235
Albuquerque, NM 87109-6734

Mailing address

4263 Montgomery Blvd NE Ste 235
Albuquerque, NM 87109-6734
Phone (480) 449-3331

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

LicenseStateTypeSpecialty
OTA3125NMMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1770336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1275484131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4263 MONTGOMERY BLVD NE STE 235",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096734",
            "telephone_number": "480-449-3331",
            "fax_number": "855-449-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4263 MONTGOMERY BLVD NE STE 235",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096734",
            "telephone_number": "480-449-3331",
            "fax_number": "855-449-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARLI",
        "first_name": "JON",
        "middle_name": "CALEB",
        "credential": "COTA/L, CDRS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NM",
            "license": "OTA3125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.