Individual provider Active NPI

Molly Elisabeth Forney, OTR/L

  • Occupational Therapist
  • Lafayette, CO
National Provider Identifier
1215526371
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0006606 Issued in CO
Practice address
1300 Plaza CT N Ste 101
Lafayette, CO 80026-1467
Phone
(720) 515-4487
NPI assigned
Jan 13, 2021
Last updated
Feb 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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 0006606 CO Primary

Addresses

Primary practice location

1300 Plaza CT N Ste 101
Lafayette, CO 80026-1467

Mailing address

5421 E 129TH Ave
Thornton, CO 80241-2344

Other practice location 1

1855 Plaza Dr
Louisville, CO 80027-2325
Phone (720) 378-6610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210211000790 CO Practitioner - Occupational Therapist in Private Practice 4183039845 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0006606COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gather and Grow Therapy Services, LLC Occupational Therapist CurrentSince Feb 18, 2024 Accepting new patients
Aspire Therapy and Wellness LLC Occupational Therapist CurrentSince Feb 1, 2021 Accepting new patients
Gather and Grow Therapy Services, LLC PastSince Feb 18, 2024 Accepting new patients

Locations

1300 Plaza Ct N
Ste 101
Lafayette, CO 80026
Phone (720) 515-4487

1371 Hecla Dr
Ste D130
Louisville, CO 80027
Phone (303) 936-5582

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1215526371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 E 129TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802412344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 PLAZA CT N STE 101",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261467",
            "telephone_number": "720-515-4487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1855 Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "CO",
            "postal_code": "800272325",
            "country_code": "US",
            "telephone_number": "720-378-6610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORNEY",
        "first_name": "MOLLY",
        "middle_name": "ELISABETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "0006606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.