Individual provider Active NPI

Jaclyn Hudson, OTR

  • Occupational Therapist
  • Colorado Springs, CO
National Provider Identifier
1154047587
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
MSOT.0000015 Issued in CO
Practice address
1110 Chapel Hills Dr
Colorado Springs, CO 80920-3923
Phone
(719) 234-1200
NPI assigned
Oct 17, 2022
Last updated
Oct 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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 MSOT.0000015 CO Primary

Addresses

Primary practice location

1110 Chapel Hills Dr
Colorado Springs, CO 80920-3923

Mailing address

9687 Desert Lily Cir
Colorado Springs, CO 80925-1183
Phone (719) 352-1406

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

LicenseStateTypeSpecialty
17-04080KSMDOccupational Therapist
480015KSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah a King Ma & Associates Inc CurrentSince Oct 23, 2022 Accepting new patients
County of El Paso School District 20 PastSince Jul 20, 2021 Accepting new patients

Locations

721 Metropolitan Ave
Ste C
Leavenworth, KS 66048
Phone (913) 250-5452

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1154047587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9687 DESERT LILY CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809251183",
            "telephone_number": "719-352-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 CHAPEL HILLS DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203923",
            "telephone_number": "719-234-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "JACLYN",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "MSOT.0000015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; 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.