Active NPI
April Renee Roberton, OTD
- Occupational Therapist
- Longmont, CO
National Provider Identifier
1083309348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.0005628
- Practice address
- 2210 Main St
Longmont, CO 80501-1456 - Phone
- (303) 247-0530
- NPI assigned
- Apr 11, 2023
- 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 | OT.0005628 | CO | Primary |
Addresses
Primary practice location
2210 Main St
Longmont, CO 80501-1456
Mailing address
3620 Maplewood LN
Johnstown, CO 80534-4106
Phone (970) 939-2900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT.0005628 | CO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc. | Occupational Therapist | Current | Accepting new patients |
Locations
14501 E Crestline Dr
Centennial, CO 80015
Phone (303) 918-1219
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Organizations & group practices 2
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": "1681171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1083309348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3620 MAPLEWOOD LN",
"city": "JOHNSTOWN",
"state": "CO",
"postal_code": "805344106",
"telephone_number": "970-939-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 MAIN ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805011456",
"telephone_number": "303-247-0530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTON",
"first_name": "APRIL",
"middle_name": "RENEE",
"credential": "OTD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-11",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT.0005628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.