Active NPI
Jamie Michele Carr, COTA/L
- Occupational Therapy Assistant
- Broomfield, CO
National Provider Identifier
1073126991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 437195
- Practice address
- 12975 Sheridan Blvd
Broomfield, CO 80020-1477 - Phone
- (303) 785-5800
- NPI assigned
- Aug 29, 2020
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | 437195 | CO | Primary |
Addresses
Primary practice location
12975 Sheridan Blvd
Broomfield, CO 80020-1477
Mailing address
401 E 134TH Ave
Thornton, CO 80241-1722
Phone (720) 341-8788
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 |
|---|---|---|---|
| 437195 | CO | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598659200000",
"number": "1073126991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E 134TH AVE",
"city": "THORNTON",
"state": "CO",
"postal_code": "802411722",
"telephone_number": "720-341-8788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12975 SHERIDAN BLVD",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800201477",
"telephone_number": "303-785-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "JAMIE",
"middle_name": "MICHELE",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-29",
"last_updated": "2020-08-29",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CO",
"license": "437195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.