Isaiah Arcturus Braveheart, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0005042 Issued in CO

Practice address

22195 E Lake Ave
Centennial, CO 80015-4578

Phone

(720) 842-2552

NPI assigned

Jul 29, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Purple Turtle Pediatric Therapy, LLC

  • Home Health Agency
  • Centennial, CO
  • NPI 1366205650

  Occupational Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1053864728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14261 E TUFTS PL APT 205",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800151029",
            "telephone_number": "720-916-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22195 E LAKE AVE",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800154578",
            "telephone_number": "720-842-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVEHEART",
        "first_name": "ISAIAH",
        "middle_name": "ARCTURUS",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-29",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0005042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aldin Brady
• Paige Brahaney, BCBA
• Liliane Antoniutti Brantes, D.D.S.
• Karah Jenell Brasher, BCBA
• Mary Braun
• Breakthrough Emdr and Trauma
• Breakthrough Family Therapy LLC
• Breakthrough Regenerative Orthopedics
• Breathe Better Sleep Better LLC
• William P Breen, OD

• Occupational Therapist in Centennial, CO
• Providers in Centennial, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.