Individual provider Active NPI

Kristin Nicole Damitz, OTD, OTR/L

  • Occupational Therapist
  • Denver, CO
National Provider Identifier
1154888105
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0005847 Issued in CO
Practice address
3051 S Elm St
Denver, CO 80222-7339
Phone
(720) 424-9468
NPI assigned
Feb 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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 OT.0005847 CO Primary

Addresses

Primary practice location

3051 S Elm St
Denver, CO 80222-7339

Mailing address

16363 E Fremont Ave Apt 717
Aurora, CO 80016-2245
Phone (630) 303-2298

Other practice location 1

3333 S Havana St
Denver, CO 80231-3226
Phone (720) 423-9333

Other practice location 2

3985 S Vincennes Ct
Denver, CO 80237-1748
Phone (720) 424-4450

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
OT.0005847COMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1154888105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16363 E FREMONT AVE APT 717",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800162245",
            "telephone_number": "630-303-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 S ELM ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802227339",
            "telephone_number": "720-424-9468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 S Havana St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802313226",
            "country_code": "US",
            "telephone_number": "720-423-9333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3985 S Vincennes Ct",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802371748",
            "country_code": "US",
            "telephone_number": "720-424-4450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMITZ",
        "first_name": "KRISTIN",
        "middle_name": "NICOLE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0005847",
            "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 Feb 26, 2019; 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.