Individual provider Active NPI

Avery June Pulley, OTR/L

  • Occupational Therapist
  • Greeley, CO
National Provider Identifier
1033985148
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0008253 Issued in CO
Practice address
1675 18TH Ave Ste 6
Greeley, CO 80631-5151
Phone
(970) 736-5970
Fax
(317) 520-8200
NPI assigned
Nov 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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 OT.0008253 CO Primary

Addresses

Primary practice location

1675 18TH Ave Ste 6
Greeley, CO 80631-5151

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250604002934 CO Practitioner - Occupational Therapist in Private Practice 5890204499 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT.0008253COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hopebridge LLC Occupational Therapist CurrentSince Dec 22, 2024 Accepting new patients
Lighthouse Family Therapy Prof LLC Occupational Therapist CurrentSince Mar 30, 2025 Accepting new patients
Hopebridge LLC Occupational Therapist PastSince Dec 22, 2024 Accepting new patients
Lighthouse Family Therapy Prof LLC Occupational Therapist Past Accepting new patients

Locations

1330 Oakridge Dr
Unit 105
Fort Collins, CO 80525
Phone (970) 232-5457

1675 18th Ave
Ste 6
Greeley, CO 80631
Phone (970) 736-5970

3500 Depauw Blvd
Ste 3070
Indianapolis, IN 46268
Phone (463) 223-4591

Organizations & group practices 4

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": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1033985148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 18TH AVE STE 6",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315151",
            "telephone_number": "970-736-5970",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLEY",
        "first_name": "AVERY",
        "middle_name": "JUNE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0008253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.