Active NPI
Margaret Fry, OCCUPATIONAL THERAPI
- Occupational Therapist
- Castle Rock, CO
National Provider Identifier
1164587952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR1270
- Practice address
- 815 S Perry St Ste 200
Castle Rock, CO 80104-3376 - Phone
- (720) 398-8806
- Fax
- (720) 533-6137
- NPI assigned
- Dec 22, 2006
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR1270 | AR | Primary |
Addresses
Primary practice location
815 S Perry St Ste 200
Castle Rock, CO 80104-3376
Mailing address
815 S Perry St Ste 200
Castle Rock, CO 80104-3376
Phone (720) 398-8880
Other practice location 1
4901 N Shore Dr
North Little Rock, AR 72118-5293
Phone (501) 791-3331 ext. 503
Other practice location 2
516 W Bijou St
Colorado Springs, CO 80905-1311
Phone (719) 633-9114
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134958721 | Medicaid | AR | |
| 5U198 | Other | AR | BLUE CROSS BLUE SHIELD |
| 9000149056 | Medicaid | CO |
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 |
|---|---|---|---|
| OTR1270 | AR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth Straka Speech Associates | Past | Accepting new patients | |
| Elizabeth Straka Speech Associates | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Colorado Springs, CO
- NPI 1023253929
-
- Speech-Language Pathologist
- Castle Rock, CO
- NPI 1598178410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1164587952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 S PERRY ST STE 200",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801043376",
"telephone_number": "720-398-8880",
"fax_number": "720-533-6137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 S PERRY ST STE 200",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801043376",
"telephone_number": "720-398-8806",
"fax_number": "720-533-6137"
}
],
"practiceLocations": [
{
"address_1": "4901 N Shore Dr",
"address_purpose": "LOCATION",
"city": "North Little Rock",
"state": "AR",
"postal_code": "721185293",
"country_code": "US",
"telephone_number": "501-791-3331 x503",
"fax_number": "501-791-0294",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "516 W Bijou St",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809051311",
"country_code": "US",
"telephone_number": "719-633-9114",
"fax_number": "719-329-0495",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRY",
"first_name": "MARGARET",
"credential": "OCCUPATIONAL THERAPI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR1270",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134958721",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5U198",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000149056",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.