Active NPI
Ivy Lau
- Occupational Therapist
- Durango, CO
National Provider Identifier
1184952871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3237
- Practice address
- 28 Salt Brush St
Durango, CO 81301-6676 - Phone
- (970) 880-0090
- NPI assigned
- Nov 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3237 | CO | Primary |
Addresses
Primary practice location
28 Salt Brush St
Durango, CO 81301-6676
Mailing address
28 Salt Brush St
Durango, CO 81301-6676
Phone (970) 880-0090
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 |
|---|---|---|---|
| 3237 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidpower Therapy Associates | 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.
-
- Specialist
- Albuquerque, NM
- NPI 1700997863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637020800000",
"number": "1184952871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 SALT BRUSH ST",
"city": "DURANGO",
"state": "CO",
"postal_code": "813016676",
"telephone_number": "970-880-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 SALT BRUSH ST",
"city": "DURANGO",
"state": "CO",
"postal_code": "813016676",
"telephone_number": "970-880-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAU",
"first_name": "IVY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-18",
"last_updated": "2021-11-16",
"certification_date": "2021-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "3237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.