Soulbrite OT LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

SOULBRITE OT LLC

Practice address

3472 Sunshine Canyon Dr
Boulder, CO 80302-9722

Phone

(267) 980-9689

NPI assigned

Feb 7, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Colleen McCloskey, MOTNPI 1548937782

Title

Occupational Therapist

Phone

(267) 980-9689

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colleen Denise McCloskey, OT

  • Occupational Therapist
  • Boulder, CO
  • NPI 1548937782

  Pediatrics

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1124724513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3472 SUNSHINE CANYON DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803029722",
            "telephone_number": "267-980-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3472 SUNSHINE CANYON DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803029722",
            "telephone_number": "267-980-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULBRITE OT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "MCCLOSKEY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "267-980-9689",
        "authorized_official_credential": "MOT"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea J Sotelo, RN
• David Michael Soucy, M.A.
• Maureen Soucy, LPN
• Olivia Soukup
• Soul Shine, LLC
• Soulma LLC
• Soulterra Cousnseling P.L.L.C
• Source Psychiatry, PC
• South Boulder Healing Center PLLC
• South Boulder Pediatric Dentistry

• Pediatric Occupational Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Pediatric Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.