Active NPI
Heartfully Bolder OT, LLC
- Occupational Therapist
- Boulder, CO
National Provider Identifier
1255918843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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, MS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Occupational Therapist
- Salt Lake City, UT
- NPI 1144867250
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
- Healthpro Heritage Rehab & Fitness, LLC
- Healthy Z Osteopathic Family Medicine, PLLC (Boulder Osteopathic Family Medicine)
- Georgianna Hearne
- Heart and Sol Speech Therapy
- Heart Centered Counseling, PC (LifeStance Health)
- Heartnest Home Care LLC
- Heartsease Counseling LLC
- Heartwise Healing LLC
- Heather a Meinke LLC
- Nan E Hebert, MA, PHD(C), LPCC
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.