Individual provider Active NPI

Starla Diane Maier-Walford, OTR

  • Occupational Therapist
  • Lakewood, CO
National Provider Identifier
1073585246
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
10005 W 17TH PL Ste B
Lakewood, CO 80215-2865
Phone
(303) 233-9700
Fax
(303) 233-2806
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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 Primary

Addresses

Primary practice location

10005 W 17TH PL Ste B
Lakewood, CO 80215-2865

Mailing address

4750 Oak St
Wheat Ridge, CO 80033-2650
Phone (303) 433-3827

Other identifiers 1

IdentifierTypeStateIssuer
1043254OtherCOCERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090921000316 CO Practitioner - Occupational Therapist in Private Practice 4789730599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermountain Medical Group Denver LLCGroup PAC ID 0840513552, 571 clinicians

Practice addresses (Care Compare)

Broomfield, CO 80021
Phone (720) 807-4461

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

8550 W 38TH Ave
100 Wheat Ridge Clinic Physical Therapy
Wheat Ridge, CO 80033-4341
Phone (303) 467-4121

8550 W 38TH Ave
220 Wheat Ridge Clinic Primary Care
Wheat Ridge, CO 80033-4300
Phone (303) 403-3670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Jan 1, 2015 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Hand to Hand Therapy Clinic LLC Occupational Therapist CurrentSince Jun 4, 2012 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jan 1, 2015 Accepting new patients
Expert Medical Alliance of Colorado PastSince Jun 4, 2012 Accepting new patients

Locations

12169 Sheridan Blvd
Broomfield, CO 80020
Phone (303) 439-0169

500 Eldorado Blvd
Ste 6300
Broomfield, CO 80021
Phone (303) 272-0803

10005 W 17th Pl
Ste B
Lakewood, CO 80215
Phone (303) 233-9700

3000 Youngfield St
Ste 163
Wheat Ridge, CO 80215
Phone (303) 233-9700

8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100

Organizations & group practices 5

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1073585246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 OAK ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332650",
            "telephone_number": "303-433-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10005 W 17TH PL STE B",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802152865",
            "telephone_number": "303-233-9700",
            "fax_number": "303-233-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIER-WALFORD",
        "first_name": "STARLA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION",
            "identifier": "1043254",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.