Active NPI
Carleen Ann Sajkowsky, P.T.
- Physical Therapist
- Las Cruces, NM
National Provider Identifier
1275550170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4097
- Practice address
- 2455 Missouri Ave
Suite B
Las Cruces, NM 88001-5122 - Phone
- (575) 556-8440
- Fax
- (575) 556-8439
- NPI assigned
- Jul 16, 2006
- Last updated
- May 1, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4097 | NM | Primary |
| Physical Therapist | 225100000X | 1-7667-7 | TX | |
| Physical Therapist | 225100000X | 1076677 | TX |
Addresses
Primary practice location
2455 Missouri Ave
Suite B
Las Cruces, NM 88001-5122
Mailing address
2455 Missouri Ave
Suite B
Las Cruces, NM 88001-5122
Phone (575) 556-8440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2205 S Main St
Suite a
Las Cruces, NM 88005-3113
Phone (575) 556-8440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-7667-7 | TX | MD | Physical Therapist |
| 1076677 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Real View Diagnostics LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Las Cruces, NM
- NPI 1811395387
-
- Physical Therapist
- Canutillo, TX
- NPI 1336882026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430438400000",
"number": "1275550170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2455 MISSOURI AVE",
"address_2": "SUITE B",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880015122",
"telephone_number": "575-556-8440",
"fax_number": "575-556-8439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2455 MISSOURI AVE",
"address_2": "SUITE B",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880015122",
"telephone_number": "575-556-8440",
"fax_number": "575-556-8439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAJKOWSKY",
"first_name": "CARLEEN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-16",
"last_updated": "2015-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "4097",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1-7667-7",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1076677",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.