Active NPI
Emily Jo Kyburz, MS, OTR
- Occupational Therapist
- Boulder, CO
National Provider Identifier
1154618213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3225
- Practice address
- 2307 Spruce St
Boulder, CO 80302-4614 - Phone
- (970) 275-2960
- NPI assigned
- Jul 8, 2011
- 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 | 3225 | CO | Primary |
Addresses
Primary practice location
2307 Spruce St
Boulder, CO 80302-4614
Mailing address
2307 Spruce St
Boulder, CO 80302-4614
Phone (970) 275-2960
Other names 1
- Emily Jo Clader
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 |
|---|---|---|---|
| 3225 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310083200000",
"number": "1154618213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307 SPRUCE ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803024614",
"telephone_number": "970-275-2960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 SPRUCE ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803024614",
"telephone_number": "970-275-2960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYBURZ",
"first_name": "EMILY",
"middle_name": "JO",
"credential": "MS, OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-08",
"last_updated": "2011-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "3225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "CLADER",
"middle_name": "JO",
"code": "1",
"type": "Former Name"
}
]
}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 Jul 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.