Organization Active NPI

Innovative Occupational Therapy Services, LLC

  • Occupational Therapist
  • Aurora, CO
National Provider Identifier
1063719979
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
INNOVATIVE OCCUPATIONAL THERAPY SERVICES, LLC
Practice address
14201 E 4TH Ave
Ste 265
Aurora, CO 80011-8748
Phone
(720) 484-5705
Fax
(303) 200-7069
NPI assigned
Feb 12, 2011
Last updated
Mar 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Authorized official

Name
Mrs. Jan'NA Walker
Title
Otd, Otr/L
Phone
(720) 484-5705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

14201 E 4TH Ave
Ste 265
Aurora, CO 80011-8748

Mailing address

14201 E 4TH Ave
Ste 265
Aurora, CO 80011-8748
Phone (720) 484-5705

National Provider Directory

National Provider Directory

Locations

14201 E 4th Ave
Ste 265
Aurora, CO 80011
Phone (720) 484-5705

NPI Registry JSON

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

{
    "created_epoch": "1297468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1063719979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 E 4TH AVE",
            "address_2": "STE 265",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118748",
            "telephone_number": "720-484-5705",
            "fax_number": "303-200-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 E 4TH AVE",
            "address_2": "STE 265",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118748",
            "telephone_number": "720-484-5705",
            "fax_number": "303-200-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE OCCUPATIONAL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-12",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JAN'NA",
        "authorized_official_title_or_position": "OTD, OTR/L",
        "authorized_official_telephone_number": "720-484-5705",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.