Active NPI
Maigen Marie Cummesky, OTR
- Occupational Therapist
- Loveland, CO
National Provider Identifier
1043501786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3118
- Practice address
- 3001 N Taft Ave
Ste. 100
Loveland, CO 80538-8307 - Phone
- (970) 663-3222
- NPI assigned
- Apr 28, 2011
- Last updated
- Aug 8, 2011
- Sex
- Female
- 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 Therapist | 225X00000X | 3118 | CO | Primary |
Addresses
Primary practice location
3001 N Taft Ave
Ste. 100
Loveland, CO 80538-8307
Mailing address
625 W Mulberry St
Fort Collins, CO 80521-3627
Phone (415) 497-4249
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30233763 | Medicaid | CO |
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 |
|---|---|---|---|
| 3118 | CO | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Collins Therapy Services LLC | Occupational Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ABG Therapy & Wellness Center
- Speech-Language Pathologist
- Loveland, CO
- NPI 1043210693
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1043501786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 W MULBERRY ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805213627",
"telephone_number": "415-497-4249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 N TAFT AVE",
"address_2": "STE. 100",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805388307",
"telephone_number": "970-663-3222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMESKY",
"first_name": "MAIGEN",
"middle_name": "MARIE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-28",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "3118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30233763",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.