Active NPI
Emma Grace Kroger McDonald, OTR/L
- Occupational Therapist
- Denver, CO
National Provider Identifier
1144866559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.0006200
- Practice address
- 4500 E Cherry Creek South Dr Ste 710
Denver, CO 80246-1534 - Phone
- (303) 432-8487
- NPI assigned
- Nov 20, 2019
- Last updated
- Aug 15, 2024
- 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 | OT.0006200 | CO | Primary |
Addresses
Primary practice location
4500 E Cherry Creek South Dr Ste 710
Denver, CO 80246-1534
Mailing address
2641 Avocet Rd
Fort Collins, CO 80526-2801
Phone (937) 901-8226
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT.0006200 | CO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Heroes, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Fort Collins, CO
- NPI 1811021157
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1144866559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2641 AVOCET RD",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805262801",
"telephone_number": "937-901-8226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 E CHERRY CREEK SOUTH DR STE 710",
"city": "DENVER",
"state": "CO",
"postal_code": "802461534",
"telephone_number": "303-432-8487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "EMMA",
"middle_name": "GRACE KROGER",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-20",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT.0006200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.