Active NPI
Elle Rabbeth, OT/L
- Occupational Therapist
- La Madera, NM
National Provider Identifier
1871775353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 989
- Practice address
- Highway 341 #143
La Madera, NM 87539 - Phone
- (505) 583-2540
- NPI assigned
- Nov 27, 2007
- Last updated
- Nov 27, 2007
- 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 | 989 | NM | Primary |
Addresses
Primary practice location
Highway 341 #143
La Madera, NM 87539
Mailing address
PO Box 3416
Espanola, NM 87533-3416
Phone (505) 583-2540
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1871775353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3416",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875333416",
"telephone_number": "505-583-2540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HIGHWAY 341 #143",
"city": "LA MADERA",
"state": "NM",
"postal_code": "87539",
"telephone_number": "505-583-2540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABBETH",
"first_name": "ELLE",
"credential": "OT/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-27",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.