Individual provider Active NPI

Jennifer Fagin

  • Occupational Therapist
  • Alamogordo, NM
National Provider Identifier
1497629125
Registry record updated Oct 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT22038 Issued in NM
Practice address
2351 Indian Wells Rd
Alamogordo, NM 88310-4607
Phone
(575) 437-3351
Fax
(575) 437-2622
NPI assigned
Oct 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT22038 NM Primary

Addresses

Primary practice location

2351 Indian Wells Rd
Alamogordo, NM 88310-4607

Mailing address

2351 Indian Wells Rd
Alamogordo, NM 88310-4607
Phone (575) 437-3351

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251202002687 NM Practitioner - Occupational Therapist in Private Practice 0648763300 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alamogordo Physical Therapy and Wellness Center, IncGroup PAC ID 8729998794, 10 clinicians

Practice addresses (Care Compare)

2351 Indian Wells Rd
Alamogordo Physical Therapy
Alamogordo, NM 88310-4607
Phone (575) 439-1397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT22038NMMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alamogordo Physical Therapy & Wellness Center, Inc Occupational Therapist CurrentSince Sep 29, 2025 Accepting new patients
Artesia Physical Therapy LLC Occupational Therapist CurrentSince Sep 29, 2025 Accepting new patients
Carlsbad Physical Therapy & Wellness Center, LLC Occupational Therapist CurrentSince Sep 29, 2025 Accepting new patients

Locations

2351 Indian Wells Rd
Alamogordo, NM 88310
Phone (575) 437-3351

601 W Mahone Dr
Artesia, NM 88210
Phone (575) 439-1397

126 S Canyon St
Carlsbad, NM 88220
Phone (505) 628-0503

Organizations & group practices 3

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": "1759536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759536000000",
    "number": "1497629125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 INDIAN WELLS RD",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883104607",
            "telephone_number": "575-437-3351",
            "fax_number": "575-437-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 INDIAN WELLS RD",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883104607",
            "telephone_number": "575-437-3351",
            "fax_number": "575-437-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGIN",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-04",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "OT22038",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 4, 2025; 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.

Verify at the official NPI Registry.