Individual provider Active NPI

Anuoluwa Esther Balogun, OTR

  • Occupational Therapist
  • Denver, CO
National Provider Identifier
1306611785
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0008248 Issued in CO
Practice address
3801 E Florida Ave Ste 917
Denver, CO 80210-2549
Phone
(844) 757-7450
Fax
(855) 715-3504
NPI assigned
Nov 16, 2023
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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 OT.0008248 CO Primary

Addresses

Primary practice location

3801 E Florida Ave Ste 917
Denver, CO 80210-2549

Mailing address

11011 W 16TH Dr Apt 207
Lakewood, CO 80215-2770
Phone (832) 288-1359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250410000586 NC Practitioner - Occupational Therapist in Private Practice 1153845219 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT.0008248COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Care First Physical Therapy & Rehab, LLC Occupational Therapist CurrentSince Apr 1, 2025 Accepting new patients
Kidscare Therapy of Colorado, LLC CurrentSince Jun 16, 2024 Accepting new patients

Locations

3801 E Florida Ave
Ste 917
Denver, CO 80210
Phone (844) 757-7450

100 Cornerstone Dr
Cary, NC 27519
Phone (919) 460-1921

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1306611785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 W 16TH DR APT 207",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802152770",
            "telephone_number": "832-288-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 E FLORIDA AVE STE 917",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102549",
            "telephone_number": "844-757-7450",
            "fax_number": "855-715-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOGUN",
        "first_name": "ANUOLUWA",
        "middle_name": "ESTHER",
        "name_prefix": "Dr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0008248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.