Sarah Lynn Charboneau, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA.0001112 Issued in CO

Practice address

8301 E Prentice Ave Ste 207
Greenwood Village, CO 80111-2905

Phone

(719) 632-8325

NPI assigned

Oct 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1194290379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2346 PARK CENTER DR APT 8405",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802345636",
            "telephone_number": "701-331-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 E PRENTICE AVE STE 207",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112905",
            "telephone_number": "719-632-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARBONEAU",
        "first_name": "SARAH",
        "middle_name": "LYNN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "OTA.0001112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kearny Chang
• Yen-Chen Chang, OTR, PH.D.
• Change Academy at Lake of the Ozarks
• Change Academy at Lake of the Ozarks
• Weng Ian Chao, PHD
• Julia Charron, SWC
• Edward Ray Chase, LPC
• Lauren E Chatwin
• Albert Chen
• Holly Cheng, RN

• Occupational Therapy Assistant in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Occupational Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.