Individual provider Active NPI

Ilia Srygley, OTR

  • Occupational Therapist
  • Windsor, CO
National Provider Identifier
1245497353
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0003664 Issued in CO
Practice address
4650 Royal Vista Cir
Windsor, CO 80528-9321
Phone
(970) 305-5070
NPI assigned
May 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0003664 CO Primary
Pediatric Occupational Therapist 225XP0200X 112573 TX

Addresses

Primary practice location

4650 Royal Vista Cir
Windsor, CO 80528-9321

Mailing address

2127 Baldwin St
Fort Collins, CO 80528-7074
Phone (214) 543-0581

Other practice location 1

11880 Greenville Ave
Suite 100
Dallas, TX 75243-0587
Phone (214) 349-6178

Other names 1

  • Ilia Lowry Former name

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

LicenseStateTypeSpecialty
0003664COMDOccupational Therapist
112573TXMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1211068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245497353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 BALDWIN ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805287074",
            "telephone_number": "214-543-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 ROYAL VISTA CIR",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805289321",
            "telephone_number": "970-305-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11880 Greenville Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752430587",
            "country_code": "US",
            "telephone_number": "214-349-6178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRYGLEY",
        "first_name": "ILIA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "0003664",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "112573",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILIA",
            "last_name": "LOWRY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Windsor, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.