Optimal Performance Occupational Therapy, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

ME2323 Issued in CO

Legal business name

OPTIMAL PERFORMANCE OCCUPATIONAL THERAPY, LLC

Practice address

7606 N Union Blvd
Ste a
Colorado Springs, CO 80920-3850

Phone

(719) 265-0088

Fax

(888) 235-9876

NPI assigned

Nov 18, 2013

Last updated

Nov 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vicky Enn

Title

Manager

Phone

(863) 232-5062

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1225468838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7606 N UNION BLVD",
            "address_2": "STE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203850",
            "telephone_number": "719-265-0088",
            "fax_number": "888-235-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7606 N UNION BLVD",
            "address_2": "STE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203850",
            "telephone_number": "719-265-0088",
            "fax_number": "888-235-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PERFORMANCE OCCUPATIONAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "ENN",
        "authorized_official_first_name": "VICKY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "863-232-5062"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "ME2323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.