Innovations Pediatric Therapy, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0003917 Issued in CO

Legal business name

INNOVATIONS PEDIATRIC THERAPY, LLC

Practice address

3403 W 7TH St Apt a
Greeley, CO 80634

Phone

(719) 499-1124

NPI assigned

May 29, 2018

Last updated

Aug 17, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Eli, OTR/LNPI 1457764813

Title

Occupational Therapist

Phone

(719) 499-1124

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Eli, OTR/L

  • Occupational Therapist
  • Fort Collins, CO
  • NPI 1457764813
  NPD (past) Authorized official

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1164913885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 W 7TH ST APT A",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345143",
            "telephone_number": "719-499-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 W 7TH ST APT A",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80634",
            "telephone_number": "719-499-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIONS PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "ELI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "719-499-1124",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0003917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Greeley, CO
• Providers in Greeley, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.