Avicenna Acupuncture LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1877 Issued in CO

Legal business name

AVICENNA ACUPUNCTURE LLC

Doing business as

Avicenna Acupuncture and Lymphedema Care

Practice address

7829 W 38TH Ave
Wheat Ridge, CO 80033-6109

Phone

(303) 803-0675

Fax

(815) 550-2759

NPI assigned

Aug 7, 2009

Last updated

Apr 22, 2020By 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

Igor Piotr Zielinski, L.AC.NPI 1356576730

Title

Owner/Manager

Phone

(303) 803-0675

Specialties & licenses 3

Addresses

Other names 1

• Avicenna Acupuncture and Lymphedema Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Petra Elisabeth Schalk, L.AC.,OTR/L

  • Occupational Therapist
  • Wheat Ridge, CO
  • NPI 1326282591

  Acupuncturist

  Medicare reassignment NPD
• Igor Zielinski, L.AC.

  • Acupuncturist
  • Denver, CO
  • NPI 1356576730
  NPD Authorized official

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1255562237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 W 45TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "80033",
            "telephone_number": "303-803-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7829 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336109",
            "telephone_number": "303-803-0675",
            "fax_number": "815-550-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVICENNA ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-07",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "ZIELINSKI",
        "authorized_official_first_name": "IGOR",
        "authorized_official_middle_name": "PIOTR",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "303-803-0675",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1497",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1494",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "1877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avicenna Acupuncture and Lymphedema Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avicenna Acupuncture and Lymphedema Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Occupational Therapist in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.