Active NPI
Randall Chafin
- Occupational Therapy Assistant
- Sterling, CO
National Provider Identifier
1033775531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA.0000626
- Practice address
- 1420 S 3Rd Ave
Sterling, CO 80751-4650 - Phone
- (970) 522-2933
- NPI assigned
- May 10, 2019
- Sex
- Male
- 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 Therapy Assistant | 224Z00000X | OTA.0000626 | CO | Primary |
Addresses
Primary practice location
1420 S 3Rd Ave
Sterling, CO 80751-4650
Mailing address
1420 S 3Rd Ave
Sterling, CO 80751-4650
Phone (970) 522-2933
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTA.0000626 | CO | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557446400000",
"number": "1033775531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 S 3RD AVE",
"city": "STERLING",
"state": "CO",
"postal_code": "807514650",
"telephone_number": "970-522-2933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 S 3RD AVE",
"city": "STERLING",
"state": "CO",
"postal_code": "807514650",
"telephone_number": "970-522-2933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAFIN",
"first_name": "RANDALL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-10",
"last_updated": "2019-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CO",
"license": "OTA.0000626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling, CO
- Centennial Mental Health Center, Inc.
- Centennial Mental Health Center, Inc.
- Centennial Mental Health Center, Inc.
- Centennial Mental Health Center, Inc.
- Centennial Mental Helath Center
- Chancellor Health Care of Colorado, LLC
- Chancellor Health Care of Colorado, LLC
- Lori Lee Chapman, RN
- Chelsee Chavez-Barreras
- Cheyenne Vamc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.