Active NPI
Reina Lewis, OT
- Occupational Therapist
- Rio Rancho, NM
National Provider Identifier
1699466862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT22051
- Practice address
- 1316 Jackie Rd SE Ste 900
Rio Rancho, NM 87124-6612 - Phone
- (505) 404-9892
- NPI assigned
- May 17, 2023
- 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 | OT22051 | NM | Primary |
Addresses
Primary practice location
1316 Jackie Rd SE Ste 900
Rio Rancho, NM 87124-6612
Mailing address
1316 Jackie Rd SE Ste 900
Rio Rancho, NM 87124-6612
Phone (505) 404-9892
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1699466862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1316 JACKIE RD SE STE 900",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871246612",
"telephone_number": "505-404-9892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1316 JACKIE RD SE STE 900",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871246612",
"telephone_number": "505-404-9892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "REINA",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-17",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "OT22051",
"primary": true
}
],
"identifiers": [],
"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 May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.