Individual provider Active NPI

Laurie Lynn Kovaleski, OTR

  • Occupational Therapist
  • Morrison, CO
National Provider Identifier
1205065141
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2632 Issued in CO
Practice address
150 Spring Street Rd
Bear Creek Nursing Care and Rehabilitation
Morrison, CO 80465
Phone
(303) 697-8181
NPI assigned
Jul 14, 2009
Last updated
Dec 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2632 CO Primary

Addresses

Primary practice location

150 Spring Street Rd
Bear Creek Nursing Care and Rehabilitation
Morrison, CO 80465

Mailing address

10523 S. Grizzly Gulch
Highlands Ranch, CO 80129
Phone (720) 348-1892

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

LicenseStateTypeSpecialty
2632COMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1205065141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10523 S. GRIZZLY GULCH",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80129",
            "telephone_number": "720-348-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SPRING STREET RD",
            "address_2": "BEAR CREEK NURSING CARE AND REHABILITATION",
            "city": "MORRISON",
            "state": "CO",
            "postal_code": "80465",
            "telephone_number": "303-697-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALESKI",
        "first_name": "LAURIE",
        "middle_name": "LYNN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "2632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrison, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.