Active NPI
Vanessa Rochelle Larrick, M.S. O.T.
- Pediatric Occupational Therapist
- Boulder, CO
National Provider Identifier
1144642240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT005842
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| OT005842 | GA | MD | Pediatric 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.