Active NPI
Camille L Sackett-Wescott, OT
- Pediatric Occupational Therapist
- Los Alamos, NM
National Provider Identifier
1790316131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT2290
- Practice address
- 1350 Central Ave
Los Alamos, NM 87544-3244 - Phone
- (505) 662-3384
- NPI assigned
- Feb 3, 2020
- Last updated
- Feb 3, 2020
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT2290 | NM | Primary |
Addresses
Primary practice location
1350 Central Ave
Los Alamos, NM 87544-3244
Mailing address
976 Tsankawi St
Los Alamos, NM 87544-2836
Phone (505) 695-4418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Plus Inc | Single Specialty | Current | Accepting new patients |
Locations
1350 Central Ave
Ste 105
Los Alamos, NM 87544
Phone (505) 662-3384
Organizations & group practices 2
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": "1580688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1790316131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "976 TSANKAWI ST",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875442836",
"telephone_number": "505-695-4418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 CENTRAL AVE",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875443244",
"telephone_number": "505-662-3384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACKETT-WESCOTT",
"first_name": "CAMILLE",
"middle_name": "L",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-03",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NM",
"license": "OT2290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Alamos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.