Individual provider Active NPI

Alexa Cheyenne Thompson, OTR

  • Occupational Therapist
  • Centennial, CO
National Provider Identifier
1184181711
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0008273 Issued in CO
Practice address
9137 E Mineral Cir
Centennial, CO 80112-3421
Phone
(303) 284-4021
NPI assigned
Mar 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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 OTR3864 AR
Occupational Therapist 225X00000X OT.0008273 CO Primary

Addresses

Primary practice location

9137 E Mineral Cir
Centennial, CO 80112-3421

Mailing address

1326 County Road 754
Jonesboro, AR 72401-8337
Phone (870) 919-3431

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTR3864ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Pediatric Therapy, LLC Occupational Therapist CurrentSince Oct 1, 2024 Accepting new patients
Elevate Pediatric Therapy, LLC Occupational Therapist CurrentSince Apr 21, 2024 Accepting new patients
Jill Tullman & Associates, LLC CurrentSince Jan 14, 2025 Accepting new patients

Locations

9137 E Mineral Cir
Ste 120
Centennial, CO 80112
Phone (303) 284-4021

Organizations & group practices 3

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": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1184181711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 COUNTY ROAD 754",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724018337",
            "telephone_number": "870-919-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9137 E MINERAL CIR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123421",
            "telephone_number": "303-284-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ALEXA",
        "middle_name": "CHEYENNE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2024-04-22",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3864",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0008273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.