Cynthia Shiko Otr,CMT,LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

CYNTHIA SHIKO OTR,CMT,LLC

Practice address

75 Manhattan Dr
Suite 101
Boulder, CO 80303-4254

Phone

(720) 205-8130

Fax

(720) 304-3523

NPI assigned

Apr 25, 2007

Last updated

Jun 13, 2012By 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

Cynthia L Shiko, OTR,CMT

Title

Owner

Phone

(720) 205-8130

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Andrea Tapia Stamm, PT

  • Physical Therapy Clinic/Center
  • Boulder, CO
  • NPI 1184841793
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1174742068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2472 N FRANKLIN AVE",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271217",
            "telephone_number": "720-205-8130",
            "fax_number": "720-304-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MANHATTAN DR",
            "address_2": "SUITE 101",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034254",
            "telephone_number": "720-205-8130",
            "fax_number": "720-304-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA SHIKO OTR,CMT,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "SHIKO",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-205-8130",
        "authorized_official_credential": "OTR,CMT"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66032270",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Jean Cushing, D.O.
• Danielle Custode, D.C.
• Eric Moore Cutti, MD
• Hannah Cuviello, CCC-SLP
• CVS Pharmacy Inc. (CVS Pharmacy #16013)
• D Bruce Brown MD PC
• Paul D'Amore, DDS
• Sherry D'Andrea
• Diane Eliese D'Angelo
• Patricia Lima Da Costa, M.S.

• Pediatric Occupational Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Pediatric Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.