Individual provider Active NPI

Liane M Krcil, OT

  • Occupational Therapist
  • Alamogordo, NM
National Provider Identifier
1588657399
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1723 Issued in NM
Practice address
2351 Indian Wells
Alamogordo, NM 88310
Phone
(575) 439-1397
Fax
(575) 437-2622
NPI assigned
Aug 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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 1723 NM Primary

Addresses

Primary practice location

2351 Indian Wells
Alamogordo, NM 88310

Mailing address

PO Box 2860
Alamogordo, NM 88311-2860
Phone (575) 439-1397

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090416000115 NM Practitioner - Occupational Therapist in Private Practice 8921155649 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1723NMMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Artesia Physical Therapy LLC Occupational Therapist CurrentSince May 25, 2018 Accepting new patients
Carlsbad Physical Therapy & Wellness Center, LLC Occupational Therapist CurrentSince May 25, 2018 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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1588657399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2860",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883112860",
            "telephone_number": "575-439-1397",
            "fax_number": "575-437-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 INDIAN WELLS",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "88310",
            "telephone_number": "575-439-1397",
            "fax_number": "575-437-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRCIL",
        "first_name": "LIANE",
        "middle_name": "M",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "1723",
            "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 Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.