Organization Active NPI

Acorn to Oak Occupational Therapy, LLC

  • Pediatric Occupational Therapist
  • Lafayette, CO
National Provider Identifier
1053019885
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
ACORN TO OAK OCCUPATIONAL THERAPY, LLC
Practice address
1300 Plaza CT N
Lafayette, CO 80026-3530
Phone
(720) 805-8774
Fax
(720) 902-6231
NPI assigned
Feb 21, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ana Antonetti, OTR/LNPI 1972999886
Title
Owner/Occupational Therapist
Phone
(847) 754-7363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Acorn to Oak Occupational Therapy LLC2 organizations share this tax ID

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1300 Plaza Ct N
Lafayette, CO 80026
Phone (720) 805-8774

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X Primary

Addresses

NPPES NPI Registry

Primary practice location

1300 Plaza CT N
Lafayette, CO 80026-3530

Mailing address

5375 Gunbarrel Cir
Longmont, CO 80503-8603
Phone (847) 754-7363

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
9000181168MedicaidCO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 21, 2025.

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1053019885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5375 GUNBARREL CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805038603",
            "telephone_number": "847-754-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 PLAZA CT N",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263530",
            "telephone_number": "720-805-8774",
            "fax_number": "720-902-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACORN TO OAK OCCUPATIONAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "ANTONETTI",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "847-754-7363",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000181168",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.