Active NPI
Jessica Ann Koster, OTR/L
- Pediatric Occupational Therapist
- Westminster, CO
National Provider Identifier
1083124580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT.0004892
- Practice address
- 12061 Tejon St Ste 300
Westminster, CO 80234-2325 - Phone
- (303) 665-6800
- Fax
- (303) 265-9820
- NPI assigned
- Oct 10, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201008531 | MI | |
| Pediatric Occupational Therapist | 225XP0200X | OT.0004892 | CO | Primary |
Addresses
Primary practice location
12061 Tejon St Ste 300
Westminster, CO 80234-2325
Mailing address
12061 Tejon St Ste 300
Westminster, CO 80234-2325
Phone (303) 665-6800
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 |
|---|---|---|---|
| 5201008531 | MI | MD | Occupational Therapist |
| OT.0004892 | CO | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507593600000",
"number": "1083124580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12061 TEJON ST STE 300",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "802342325",
"telephone_number": "303-665-6800",
"fax_number": "303-265-9820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12061 TEJON ST STE 300",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "802342325",
"telephone_number": "303-665-6800",
"fax_number": "303-265-9820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSTER",
"first_name": "JESSICA",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-10",
"last_updated": "2017-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201008531",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CO",
"license": "OT.0004892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.