Organization Active NPI

Heartfully Bolder OT, LLC

  • Occupational Therapist
  • Boulder, CO
National Provider Identifier
1255918843
Registry record updated Mar 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
HEARTFULLY BOLDER OT, LLC
Practice address
637-B South Broadway, #142
Boulder, CO 80305
Phone
(303) 335-0861
NPI assigned
Mar 28, 2021
Last updated
Mar 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2021

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

Authorized official

Name
Denise Michele Larocca, OTD, MS, OTR/L, MSNPI 1144867250
Title
Owner/Occupational Therapist
Phone
(303) 819-1744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

637-B South Broadway, #142
Boulder, CO 80305

Mailing address

637-B South Broadway, #142
Boulder, CO 80305
Phone (303) 335-0861

National Provider Directory

National Provider Directory

Locations

637 S Broadway St
Ste B
Boulder, CO 80305
Phone (303) 335-0861

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1616889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616889600000",
    "number": "1255918843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637-B SOUTH BROADWAY, #142",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80305",
            "telephone_number": "303-335-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637-B SOUTH BROADWAY, #142",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80305",
            "telephone_number": "303-335-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTFULLY BOLDER OT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-28",
        "last_updated": "2021-03-28",
        "certification_date": "2021-03-28",
        "status": "A",
        "authorized_official_last_name": "LAROCCA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "303-819-1744",
        "authorized_official_credential": "OTD, MS, OTR/L, MS"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "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 Mar 28, 2021; 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.