Active NPI
Joanne Habelt, MOT OTR L
- Occupational Therapist
- Alamogordo, NM
National Provider Identifier
1396895074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1645
- Practice address
- 15 Camino Valle Verde
Alamogordo, NM 88310-9309 - Phone
- (505) 491-5276
- NPI assigned
- Jan 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 1645 | NM | Primary |
Addresses
Primary practice location
15 Camino Valle Verde
Alamogordo, NM 88310-9309
Mailing address
15 Camino Valle Verde
Alamogordo, NM 88310-9309
Phone (505) 491-5276
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1002711 | Other | NBCOT | |
| 1645 | Other | NM | OT STATE LICENSE |
| G5794 | Medicaid | NM | |
| 285549 | Other | NM | LEVEL (3) K-12 OT LICENSE |
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 |
|---|---|---|---|
| 1645 | NM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396895074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CAMINO VALLE VERDE",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883109309",
"telephone_number": "505-491-5276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 CAMINO VALLE VERDE",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883109309",
"telephone_number": "505-491-5276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABELT",
"first_name": "JOANNE",
"name_prefix": "Ms.",
"credential": "MOT OTR L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "1645",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCOT",
"identifier": "1002711",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT STATE LICENSE",
"identifier": "1645",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G5794",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LEVEL (3) K-12 OT LICENSE",
"identifier": "285549",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alamogordo, 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.