Active NPI
Olga M. Sacasa, P.T.
- Physical Therapist
- Los Lunas, NM
National Provider Identifier
1912922808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2549
- Practice address
- 535 US Highway 314, SW
Los Lunas, NM 87031 - Phone
- (505) 861-1200
- Fax
- (505) 861-1220
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2549 | NM | Primary |
Addresses
Primary practice location
535 US Highway 314, SW
Los Lunas, NM 87031
Mailing address
535 US Highway 314, SW
Los Lunas, NM 87031
Phone (505) 861-1200
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82487022 | Medicaid | NM | |
| 000Q0406 | Medicaid | NM | |
| 1356491146 | Other | NM | BELEN FACILITY NPI |
| 1386651412 | Other | NM | LOS LUNAS FACILITY NPI |
| 1245380039 | Other | NM | BERNALILLO FACILITY NPI |
| 2549 | Other | NM | NM STATE LICENSE |
| P00348973 | Other | NM | RAILROAD MEDICARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradigm Physical Therapy and Wellness Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Bernalillo, NM
- NPI 1245380039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274140800000",
"number": "1912922808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 US HIGHWAY 314, SW",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "87031",
"telephone_number": "505-861-1200",
"fax_number": "505-861-1220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 US HIGHWAY 314, SW",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "87031",
"telephone_number": "505-861-1200",
"fax_number": "505-861-1220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACASA",
"first_name": "OLGA",
"middle_name": "M.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2010-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "2549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82487022",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000Q0406",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BELEN FACILITY NPI",
"identifier": "1356491146",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOS LUNAS FACILITY NPI",
"identifier": "1386651412",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BERNALILLO FACILITY NPI",
"identifier": "1245380039",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM STATE LICENSE",
"identifier": "2549",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00348973",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Lunas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.