Individual provider Active NPI

Stephanie Kotyarova

  • Occupational Therapist
  • Aurora, CO
National Provider Identifier
1073389524
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0001868 Issued in CO
Practice address
15701 E 1St Ave Ste 106
Aurora, CO 80011-9037
Phone
(303) 326-3636
NPI assigned
Nov 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.0001868 CO Primary

Addresses

Primary practice location

15701 E 1St Ave Ste 106
Aurora, CO 80011-9037

Mailing address

15701 E 1St Ave Ste 106
Aurora, CO 80011-9037

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

LicenseStateTypeSpecialty
OT.0001868COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adams Arapahoe School District 28J CurrentSince Dec 3, 2023 Accepting new patients

Locations

15701 E 1st Ave
Ste 106
Aurora, CO 80011
Phone (303) 326-1485

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.

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1073389524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15701 E 1ST AVE STE 106",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800119037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15701 E 1ST AVE STE 106",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800119037",
            "telephone_number": "303-326-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTYAROVA",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0001868",
            "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 Apr 12, 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.