Individual provider Active NPI

Kelly Michelle Prestia, MS ED OTR

  • Occupational Therapist
  • Centennial, CO
National Provider Identifier
1245353911
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
6091 S Ouebec St
Suite 200
Centennial, CO 80111-4521
Phone
(303) 504-9945
Fax
(303) 504-9946
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 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 Primary

Addresses

Primary practice location

6091 S Ouebec St
Suite 200
Centennial, CO 80111-4521

Mailing address

8423 Tabor Cir
Arvada, CO 80005-5168
Phone (303) 403-4932

Other identifiers 2

IdentifierTypeStateIssuer
841465539OtherCOTAXI ID
649046OtherCOANTHEM

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1245353911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8423 TABOR CIR",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800055168",
            "telephone_number": "303-403-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6091 S OUEBEC ST",
            "address_2": "SUITE 200",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801114521",
            "telephone_number": "303-504-9945",
            "fax_number": "303-504-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTIA",
        "first_name": "KELLY",
        "middle_name": "MICHELLE",
        "credential": "MS ED OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXI ID",
            "identifier": "841465539",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "649046",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.