Active NPI
Andrea Elizabeth Ortiz, OTD, OTR/L
- Occupational Therapist
- Broomfield, CO
National Provider Identifier
1205563871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.015024
- Practice address
- 3305 W 144TH Ave Unit 200
Broomfield, CO 80023-9483 - Phone
- (303) 284-6569
- NPI assigned
- Aug 4, 2022
- Last updated
- Nov 5, 2023
- 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 | 056.015024 | IL | Primary |
Addresses
Primary practice location
3305 W 144TH Ave Unit 200
Broomfield, CO 80023-9483
Mailing address
3305 W 144TH Ave Unit 200
Broomfield, CO 80023-9483
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
| License | State | Type | Specialty |
|---|---|---|---|
| 056.015024 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children Matter LLC | Current | Accepting new patients | |
| Children Matter, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
3305 W 144th Ave
Unit 200
Broomfield, CO 80023
Phone (303) 284-6569
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Broomfield, CO
- NPI 1609109065
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699142400000",
"number": "1205563871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3305 W 144TH AVE UNIT 200",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800239483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3305 W 144TH AVE UNIT 200",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800239483",
"telephone_number": "303-284-6569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "ANDREA",
"middle_name": "ELIZABETH",
"credential": "OTD, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-04",
"last_updated": "2023-11-05",
"certification_date": "2023-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.015024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.