Active NPI
Carly Joy McCance, MOT, OTR/L
- Pediatric Occupational Therapist
- Centennial, CO
National Provider Identifier
1184268039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT.0005925
- Practice address
- 9000 E Nichols Ave Ste 100
Centennial, CO 80112-3429 - Phone
- (720) 706-3396
- NPI assigned
- Nov 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT.0005925 | CO | |
| Pediatric Occupational Therapist | 225XP0200X | OT.0005925 | CO | Primary |
Addresses
Primary practice location
9000 E Nichols Ave Ste 100
Centennial, CO 80112-3429
Mailing address
9763 Lane St
Thornton, CO 80260-8025
Phone (856) 745-1064
Other practice location 1
3401 Quebec St Ste 3500
Denver, CO 80207-2339
Phone (720) 706-3396
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Insightgo |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT.0005925 | CO | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soar Health, Inc. | Occupational Therapist | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1184268039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9763 LANE ST",
"city": "THORNTON",
"state": "CO",
"postal_code": "802608025",
"telephone_number": "856-745-1064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 E NICHOLS AVE STE 100",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801123429",
"telephone_number": "720-706-3396"
}
],
"practiceLocations": [
{
"address_1": "3401 Quebec St Ste 3500",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802072339",
"country_code": "US",
"telephone_number": "720-706-3396",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCANCE",
"first_name": "CARLY",
"middle_name": "JOY",
"name_prefix": "Ms.",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-04",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT.0005925",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CO",
"license": "OT.0005925",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Insightgo",
"affiliation": "N",
"address_1": "6535 S Dayton St Ste 1050",
"city": "Greenwood Village",
"state": "CO",
"country_code": "US",
"postal_code": "801116134",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.