Individual provider Active NPI

Ashley Brooke Branfort, OTR

  • Occupational Therapist
  • Superior, CO
National Provider Identifier
1134595911
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0004388 Issued in CO
Practice address
1995 E Coalton Rd
Apt. 76-103
Superior, CO 80027-4419
Phone
(785) 614-3707
NPI assigned
Aug 17, 2015
Last updated
Dec 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.0004388 CO Primary

Addresses

Primary practice location

1995 E Coalton Rd
Apt. 76-103
Superior, CO 80027-4419

Mailing address

1995 E Coalton Rd
Apt. 76-103
Superior, CO 80027-4419
Phone (785) 614-3707

Other names 1

  • Ms. Ashley Brooke Moore Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT.0004388COMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1134595911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 E COALTON RD",
            "address_2": "APT. 76-103",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800274419",
            "telephone_number": "785-614-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 E COALTON RD",
            "address_2": "APT. 76-103",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800274419",
            "telephone_number": "785-614-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANFORT",
        "first_name": "ASHLEY",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0004388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "MOORE",
            "middle_name": "BROOKE",
            "prefix": "MS.",
            "credential": "OTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Superior, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.