Individual provider Active NPI

Linda McClain

  • Pediatric Occupational Therapist
  • Placitas, NM
National Provider Identifier
1821135922
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
1057 Issued in NM
Practice address
13 Las Huertas Rd
Placitas, NM 87043-9126
Phone
(505) 771-0821
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

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
1057NMMDOrthopedic Chiropractor

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 1057 NM Primary

Addresses

NPPES NPI Registry

Primary practice location

13 Las Huertas Rd
Placitas, NM 87043-9126

Mailing address

13 Las Huertas Rd
Placitas, NM 87043-9126
Phone (505) 771-0821

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
60700378MedicaidNM

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821135922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 LAS HUERTAS RD",
            "city": "PLACITAS",
            "state": "NM",
            "postal_code": "870439126",
            "telephone_number": "505-771-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 LAS HUERTAS RD",
            "city": "PLACITAS",
            "state": "NM",
            "postal_code": "870439126",
            "telephone_number": "505-771-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "LINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NM",
            "license": "1057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60700378",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Placitas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.