Individual provider Active NPI

Christina Frazier, OT

  • Occupational Therapist
  • Denver, CO
National Provider Identifier
1174869085
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0005826 Issued in CO
Practice address
6800 Leetsdale Dr
Denver, CO 80224-1588
Phone
(402) 999-6952
NPI assigned
Dec 20, 2012
Last updated
May 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 13069 CA
Occupational Therapist 225X00000X OT.0005826 CO Primary

Addresses

Primary practice location

6800 Leetsdale Dr
Denver, CO 80224-1588

Mailing address

3460 E 28TH Ave
Denver, CO 80205-5026

Other practice location 1

5535 S Williamson Blvd
Ste 774
Port Orange, FL 32128-8311
Phone (800) 330-7711 ext. 247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220315001087 CO Practitioner - Occupational Therapist in Private Practice 9436397650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13069CAMDOccupational Therapist
OT.0005826COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Physical Therapy, PC CurrentSince Dec 3, 2021 Accepting new patients
Village Physical Therapy, P.C. CurrentSince Dec 3, 2021 Accepting new patients

Locations

5825 Delmonico Dr
Ste 300
Colorado Springs, CO 80919
Phone (720) 360-4519

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1174869085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 E 28TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 LEETSDALE DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241588",
            "telephone_number": "402-999-6952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5535 S Williamson Blvd",
            "address_2": "Ste 774",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321288311",
            "country_code": "US",
            "telephone_number": "800-330-7711 x247",
            "fax_number": "866-426-2811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "CHRISTINA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-20",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "13069",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0005826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.