Roxanne Michelle Parker, OTL/R
Individual provider Active NPI Occupational Therapist · Sandia Park, NM
NPI 1497919153 · NPPES record last updated Jul 11, 2008
Key facts
- NPI
- 1497919153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2278 (NM)
- Practice address
- 36 Longview Rd
Sandia Park, NM 87047-9335 - Phone
- (505) 362-3708
- NPI assigned
- Jul 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2278 | NM | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2278 | NM | Yes |
Addresses
Primary practice location
36 Longview Rd
Sandia Park, NM 87047-9335
Mailing address
36 Longview Rd
Sandia Park, NM 87047-9335
Phone (505) 362-3708
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30887551 | Medicaid | NM |
Other providers in Sandia Park, NM
- Gabrielle Martinez
- McKenna Dawn Marie Matins
- Caesar Morales
- Elizabeth Ann Morgan
- Sarahjane Novak
- Nina Pregont
- Marisa Elizabeth Rivera
- Pamela Rothe
- Sean Hearn MD LLC
- Heather Smith
All providers in Sandia Park, NM · Occupational Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.