Individual provider Active NPI

Joanna Clare Prosch, OTR/L

  • Occupational Therapist
  • Colorado Springs, CO
National Provider Identifier
1043672447
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0004578 Issued in CO
Practice address
175 S. Union Blvd
Suite 255
Colorado Springs, CO 80910-3126
Phone
(719) 305-8000
NPI assigned
Mar 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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 0004578 CO Primary

Addresses

Primary practice location

175 S. Union Blvd
Suite 255
Colorado Springs, CO 80910-3126

Mailing address

175 S. Union Blvd
Suite 255
Colorado Springs, CO 80910-3126
Phone (719) 305-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230630000029 CO Practitioner - Occupational Therapist in Private Practice 0143689711 Reassigns benefits to 1 organization
I20241107003230 CA Practitioner - Occupational Therapist in Private Practice 0143689711 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26157CAMDGeneral Practice Dentistry
0004578COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Rock Therapies, LLC Occupational Therapist CurrentSince May 17, 2023 Accepting new patients
Burger Physical Therapy Services Inc CurrentSince Oct 1, 2024 Accepting new patients
Castle Rock Therapies, LLC PastSince May 17, 2023 Accepting new patients
Burger Physical Therapy and Rehabilitation Agency Inc PastSince Oct 1, 2024 Accepting new patients

Locations

2035 Lyndell Ter
Ste 200
Davis, CA 95616
Phone (530) 758-2222

1301 E Bidwell St
Ste 201
Folsom, CA 95630

7200 S Land Park Dr
Ste 300
Sacramento, CA 95831
Phone (916) 391-5010

4700 Castleton Way
Ste 300
Castle Rock, CO 80109
Phone (720) 788-7365

12919 Stroh Ranch Ct
Unit F
Parker, CO 80134
Phone (303) 841-7737

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": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1043672447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S. UNION BLVD",
            "address_2": "SUITE 255",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103126",
            "telephone_number": "719-305-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S. UNION BLVD",
            "address_2": "SUITE 255",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103126",
            "telephone_number": "719-305-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSCH",
        "first_name": "JOANNA",
        "middle_name": "CLARE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "0004578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.