Individual provider Active NPI

Roselynn Otero-Whitacre, MOTR/L

  • Occupational Therapist
  • Albuquerque, NM
National Provider Identifier
1699214791
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3651 Issued in NM
Practice address
10401 Research Rd SE
Albuquerque, NM 87123-3423
Phone
(505) 823-4530
NPI assigned
Feb 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 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 3651 NM Primary

Addresses

Primary practice location

10401 Research Rd SE
Albuquerque, NM 87123-3423

Mailing address

10401 Research Rd SE
Albuquerque, NM 87123-3423
Phone (505) 823-4530

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

LicenseStateTypeSpecialty
3651NMMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Family Services CurrentSince Oct 5, 2025 Accepting new patients
High Desert Family Services LLC Occupational Therapist CurrentSince Jun 2, 2024 Accepting new patients
Kidpower Therapy Associates Past Accepting new patients

Locations

10401 Research Rd SE
Albuquerque, NM 87123
Phone (505) 823-4530

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": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1699214791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 RESEARCH RD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871233423",
            "telephone_number": "505-823-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 RESEARCH RD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871233423",
            "telephone_number": "505-823-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO-WHITACRE",
        "first_name": "ROSELYNN",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "3651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.