Active NPI
Colleen Marie Kaipus, OTR
- Occupational Therapist
- Colorado Springs, CO
National Provider Identifier
1104956424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1013501
- Practice address
- 2210 Lelaray Street
Developmental Pediatrics Inc
Colorado Springs, CO 80909 - Phone
- (719) 475-0477
- Fax
- (719) 475-1021
- NPI assigned
- Mar 6, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1013501 | Primary |
Addresses
Primary practice location
2210 Lelaray Street
Developmental Pediatrics Inc
Colorado Springs, CO 80909
Mailing address
2210 Lelaray Street
Developmental Pediatrics Inc
Colorado Springs, CO 80909
Phone (719) 475-0477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11476265 | Medicaid | CO |
Other names 1
- Miss Colleen Marie Gority
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Developmental Pediatrics | Occupational Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1043340979
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104956424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 LELARAY STREET",
"address_2": "DEVELOPMENTAL PEDIATRICS INC",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80909",
"telephone_number": "719-475-0477",
"fax_number": "719-475-1021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 LELARAY STREET",
"address_2": "DEVELOPMENTAL PEDIATRICS INC",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80909",
"telephone_number": "719-475-0477",
"fax_number": "719-475-1021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAIPUS",
"first_name": "COLLEEN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": "1013501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11476265",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "COLLEEN",
"last_name": "GORITY",
"middle_name": "MARIE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.