Individual provider Active NPI

Denise Moharsky, OTR/L

  • Occupational Therapist
  • Fort Collins, CO
National Provider Identifier
1003387879
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0005538 Issued in CO
Practice address
2955 W Stuart St Apt 5
Fort Collins, CO 80526-6619
Phone
(714) 274-4643
NPI assigned
Dec 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0005538 CO Primary

Addresses

Primary practice location

2955 W Stuart St Apt 5
Fort Collins, CO 80526-6619

Mailing address

2955 W Stuart St Apt 5
Fort Collins, CO 80526-6619
Phone (714) 274-4643

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
0005538COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Care OT Occupational Therapist CurrentSince Apr 1, 2020 Accepting new patients
Sensational Kids, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1003387879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 W STUART ST APT 5",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266619",
            "telephone_number": "714-274-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 W STUART ST APT 5",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266619",
            "telephone_number": "714-274-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHARSKY",
        "first_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2021-10-18",
        "certification_date": "2021-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "0005538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.