Active NPI
Meredith Eve Hoerske, OTR/L
- Occupational Therapist
- Boulder, CO
National Provider Identifier
1043325913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1866
- Practice address
- 2108 55TH St Ste 130
Boulder, CO 80301-2827 - Phone
- (720) 760-3222
- Fax
- (720) 664-6504
- NPI assigned
- Aug 20, 2006
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1866 | CO | Primary |
Addresses
Primary practice location
2108 55TH St Ste 130
Boulder, CO 80301-2827
Mailing address
555 Manhattan Dr Unit 203
Boulder, CO 80303-4079
Phone (303) 931-5445
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT10327 | Other | FL | LICENSE # |
| OT.0001866 | Other | CO | CO STATE LICENSE |
Other names 1
- Meredith Sullivan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2108 55TH St
Suite 130
Boulder, CO 80301-2827
Phone (720) 760-3222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1866 | CO | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Front Range Upper Extremity Rehab, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
2108 55th St
Ste 130
Boulder, CO 80301
Phone (720) 363-0139
3775 Iris Ave
Ste 2AB
Boulder, CO 80301
Phone (813) 431-3702
Organizations & group practices 1
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.
-
- Occupational Therapist
- Boulder, CO
- NPI 1346863362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1043325913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 MANHATTAN DR UNIT 203",
"city": "BOULDER",
"state": "CO",
"postal_code": "803034079",
"telephone_number": "303-931-5445",
"fax_number": "720-664-6504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 55TH ST STE 130",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012827",
"telephone_number": "720-760-3222",
"fax_number": "720-664-6504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOERSKE",
"first_name": "MEREDITH",
"middle_name": "EVE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "1866",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "OT10327",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CO STATE LICENSE",
"identifier": "OT.0001866",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MEREDITH",
"last_name": "SULLIVAN",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.