Individual provider Active NPI

Erwin J C Verhoeven, OTR

  • Occupational Therapist
  • Boulder, CO
National Provider Identifier
1235303363
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
AA535849
Practice address
860 W Moorhead Cir Apt 2J
Boulder, CO 80305-6131
Phone
(303) 554-0849
NPI assigned
Apr 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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 AA535849 Primary

Addresses

Primary practice location

860 W Moorhead Cir Apt 2J
Boulder, CO 80305-6131

Mailing address

860 W Moorhead Cir Apt 2J
Boulder, CO 80305-6131
Phone (303) 554-0849

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

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1235303363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 W MOORHEAD CIR APT 2J",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803056131",
            "telephone_number": "303-554-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 W MOORHEAD CIR APT 2J",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803056131",
            "telephone_number": "303-554-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERHOEVEN",
        "first_name": "ERWIN",
        "middle_name": "J C",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": "AA535849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.