Active NPI
Yvonne Maud Knowles, OTR/L
- Occupational Therapist
- Rio Rancho, NM
National Provider Identifier
1578799268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2542
- Practice address
- 5518 Sandoval Dr NE
Rio Rancho, NM 87144-5203 - Phone
- (505) 385-5023
- NPI assigned
- Jun 8, 2009
- 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 | 2542 | NM | Primary |
Addresses
Primary practice location
5518 Sandoval Dr NE
Rio Rancho, NM 87144-5203
Mailing address
5518 Sandoval Dr NE
Rio Rancho, NM 87144-5203
Phone (505) 385-5023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4167797 | Other | NM | PUBLIC RELATION COMMISSION |
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 |
|---|---|---|---|
| 2542 | NM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244419200000",
"number": "1578799268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5518 SANDOVAL DR NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871445203",
"telephone_number": "505-385-5023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5518 SANDOVAL DR NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871445203",
"telephone_number": "505-385-5023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOWLES",
"first_name": "YVONNE",
"middle_name": "MAUD",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-08",
"last_updated": "2009-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "2542",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PUBLIC RELATION COMMISSION",
"identifier": "4167797",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.