Individual provider Active NPI

Anna Shirk, OTR

  • Occupational Therapist
  • Greeley, CO
National Provider Identifier
1316429731
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0007433 Issued in CO
Practice address
5400 W 11TH St Ste C
Greeley, CO 80634-4624
Phone
(970) 736-5970
Fax
(317) 520-8200
NPI assigned
Aug 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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 6011 TN
Occupational Therapist 225X00000X OT.0007433 CO Primary

Addresses

Primary practice location

5400 W 11TH St Ste C
Greeley, CO 80634-4624

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885

Other practice location 1

508 Autumn Springs Ct Ste 1A
Franklin, TN 37067-8274
Phone (615) 614-8833 ext. 478

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240924003015 CO Practitioner - Occupational Therapist in Private Practice 7719428283 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6011TNMDMental Health Counselor
OT.0007433COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado in Motion LLC CurrentSince Aug 11, 2024 Accepting new patients
Jones Therapy Services LLC Occupational Therapist PastSince Jan 7, 2013 Accepting new patients
Hopebridge LLC Occupational Therapist Past Accepting new patients
Colorado Physical Therapy Specialists PLLC Occupational Therapist Past Accepting new patients

Locations

115 E Harmony Rd
Ste 160
Fort Collins, CO 80525
Phone (630) 881-1560

1901 56th Ave
Ste 100
Greeley, CO 80634
Phone (970) 451-5776

4435 Ronald Reagan Blvd
Loveland, CO 80534
Phone (970) 619-8139

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1316429731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 W 11TH ST STE C",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344624",
            "telephone_number": "970-736-5970",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Autumn Springs Ct Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370678274",
            "country_code": "US",
            "telephone_number": "615-614-8833 x478",
            "fax_number": "615-614-8811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIRK",
        "first_name": "ANNA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "6011",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0007433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.