Individual provider Active NPI

Margaret Fry, OCCUPATIONAL THERAPI

  • Occupational Therapist
  • Castle Rock, CO
National Provider Identifier
1164587952
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR1270 Issued in AR
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

Updated by the provider on Jul 21, 2022

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 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

IdentifierTypeStateIssuer
134958721MedicaidAR
5U198OtherARBLUE CROSS BLUE SHIELD
9000149056MedicaidCO

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
OTR1270ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.