Active NPI
Agnes Miquelon, OTR
- Occupational Therapist
- Indian Hills, CO
National Provider Identifier
1063804235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1524
- Practice address
- 22627 Shawnee Rd.
Indian Hills, CO 80454 - Phone
- (330) 369-7967
- NPI assigned
- Feb 25, 2015
- 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 | 1524 | CO | Primary |
Addresses
Primary practice location
22627 Shawnee Rd.
Indian Hills, CO 80454
Mailing address
PO Box 345
Indian Hills, CO 80454-0345
Phone (303) 697-9677
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 |
|---|---|---|---|
| 1524 | CO | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helping Steps Occupational 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 and National Provider Directory roles.
-
- Occupational Therapist
- Indian Hills, CO
- NPI 1912399007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424822400000",
"number": "1063804235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 345",
"city": "INDIAN HILLS",
"state": "CO",
"postal_code": "804540345",
"telephone_number": "303-697-9677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22627 SHAWNEE RD.",
"city": "INDIAN HILLS",
"state": "CO",
"postal_code": "80454",
"telephone_number": "330-369-7967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIQUELON",
"first_name": "AGNES",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-25",
"last_updated": "2015-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "1524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indian Hills, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.