Lee Phillips, OTD, OTR/L

Individual provider Active NPI Occupational Therapist · Golden, CO

NPI 1164908877 · NPPES record last updated May 10, 2024

Key facts

NPI
1164908877
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT.0003385 (CO)
Practice address
1829 Denver West Dr BLDG 27
Golden, CO 80401-3120
Phone
(303) 982-6500
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3385COMDPsychologist
OT.0003385COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County School District R-1 Current
since May 12, 2024
Accepting new patients

Locations

1829 Denver West Dr
Bldg 27
Golden, CO 80401
Phone (303) 982-6500

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 3385 CO
Occupational Therapist 225X00000X OT.0003385 CO Yes

Addresses

Primary practice location

1829 Denver West Dr BLDG 27
Golden, CO 80401-3120

Mailing address

1829 Denver West Dr BLDG 27
Golden, CO 80401-3120

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 10, 2024.

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1164908877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 DENVER WEST DR BLDG 27",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804013120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 DENVER WEST DR BLDG 27",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804013120",
            "telephone_number": "303-982-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "LEE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CO",
            "license": "3385",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0003385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

All providers in Golden, CO · Occupational Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.