Active NPI
Joshua Walthour
- Occupational Therapist
- Colorado Springs, CO
National Provider Identifier
1083994776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3251
- Practice address
- 5125 N Union Blvd
Suite 130
Colorado Springs, CO 80918-2076 - Phone
- (719) 598-5555
- NPI assigned
- Aug 25, 2011
- Sex
- Male
- 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 | 3251 | CO | Primary |
Addresses
Primary practice location
5125 N Union Blvd
Suite 130
Colorado Springs, CO 80918-2076
Mailing address
128 Falcon Dr
Hartwell, GA 30643-4025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201103001485 | GA | Practitioner - Occupational Therapist in Private Practice | 9537414297 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3251 | CO | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455494400000",
"number": "1083994776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 FALCON DR",
"city": "HARTWELL",
"state": "GA",
"postal_code": "306434025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5125 N UNION BLVD",
"address_2": "SUITE 130",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809182076",
"telephone_number": "719-598-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTHOUR",
"first_name": "JOSHUA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-25",
"last_updated": "2016-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "3251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.