Active NPI
Sophia Grimm, OTD, OTR/L
- Pediatric Occupational Therapist
- Colorado Springs, CO
National Provider Identifier
1023689965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT.0006928
- Practice address
- 1330 Quail Lake Loop Ste 200
Colorado Springs, CO 80906-4651 - Phone
- (719) 540-2108
- NPI assigned
- Jul 1, 2021
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT.0006928 | CO | Primary |
Addresses
Primary practice location
1330 Quail Lake Loop Ste 200
Colorado Springs, CO 80906-4651
Mailing address
566 Oxbow Dr
Monument, CO 80132-6028
Phone (719) 433-9623
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | sgrimm@fscautism.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT.0006928 | CO | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1023689965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "566 OXBOW DR",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801326028",
"telephone_number": "719-433-9623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 QUAIL LAKE LOOP STE 200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809064651",
"telephone_number": "719-540-2108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMM",
"first_name": "SOPHIA",
"name_prefix": "Dr.",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-01",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CO",
"license": "OT.0006928",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "sgrimm@fscautism.com",
"affiliation": "N",
"endpointDescription": "Personal work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1330 Quail Lake Loop Ste 200",
"city": "Colorado Springs",
"state": "CO",
"country_code": "US",
"postal_code": "809064651",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.