Active NPI
Michael Andrew Critzman, COTA/L
- Occupational Therapy Assistant
- Northglenn, CO
National Provider Identifier
1043084734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA.0000860
- Practice address
- 11154 Huron St Ste 101
Northglenn, CO 80234-2329 - Phone
- (720) 381-0624
- Fax
- (303) 562-2415
- NPI assigned
- Nov 13, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA.0000860 | CO | Primary |
Addresses
Primary practice location
11154 Huron St Ste 101
Northglenn, CO 80234-2329
Mailing address
11154 Huron St Ste 101
Northglenn, CO 80234-2329
Phone (720) 381-0624
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.0000860 | CO | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1043084734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11154 HURON ST STE 101",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802342329",
"telephone_number": "720-381-0624",
"fax_number": "303-562-2415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11154 HURON ST STE 101",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802342329",
"telephone_number": "720-381-0624",
"fax_number": "303-562-2415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRITZMAN",
"first_name": "MICHAEL",
"middle_name": "ANDREW",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-13",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CO",
"license": "OTA.0000860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northglenn, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.