Individual provider Active NPI

Molly Lukes, OTR/L

  • Occupational Therapist
  • Santa Fe, NM
National Provider Identifier
1568286045
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT4633 Issued in NM
Practice address
9 Taylor Loop
Santa Fe, NM 87508-4509
Phone
(505) 519-6932
Fax
(505) 372-0702
NPI assigned
Nov 12, 2024
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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 OT4633 NM Primary

Addresses

Primary practice location

9 Taylor Loop
Santa Fe, NM 87508-4509

Mailing address

1606 Aliso Dr NE
Albuquerque, NM 87110-5606
Phone (208) 908-2551

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241219000428 NM Practitioner - Occupational Therapist in Private Practice 3173050879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liveability LLCGroup PAC ID 0143695940, 3 clinicians

Practice addresses (Care Compare)

9 Taylor Loop
Santa Fe, NM 87508-4509
Phone (505) 519-6932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT4633NMMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Liveability LLC Occupational Therapist CurrentSince Dec 1, 2024 Accepting new patients

Locations

9 Taylor Loop
Santa Fe, NM 87508
Phone (505) 519-6932

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1568286045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 ALISO DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105606",
            "telephone_number": "208-908-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 TAYLOR LOOP",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875084509",
            "telephone_number": "505-519-6932",
            "fax_number": "505-372-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKES",
        "first_name": "MOLLY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "OT4633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.