Individual provider Active NPI

Vanessa Rochelle Larrick, M.S. O.T.

  • Pediatric Occupational Therapist
  • Boulder, CO
National Provider Identifier
1144642240
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT005842 Issued in GA
Practice address
1153 Portland PL Apt 2
Boulder, CO 80304-8220
Phone
(678) 416-9473
NPI assigned
Jan 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT005842 GA Primary

Addresses

Primary practice location

1153 Portland PL Apt 2
Boulder, CO 80304-8220

Mailing address

1312 17TH St # 328
Denver, CO 80202-1508

Other practice location 1

3750 Blake St Apt 616
Denver, CO 80205-5498
Phone (678) 416-9473

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT005842GAMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1144642240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 17TH ST # 328",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 PORTLAND PL APT 2",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803048220",
            "telephone_number": "678-416-9473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3750 Blake St Apt 616",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802055498",
            "country_code": "US",
            "telephone_number": "678-416-9473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARRICK",
        "first_name": "VANESSA",
        "middle_name": "ROCHELLE",
        "credential": "M.S. O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT005842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.