Active NPI
Margaret Fellabaum
- Occupational Therapist
- Denver, CO
National Provider Identifier
1326672445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.0007601
- Practice address
- 695 S Colorado Blvd Ste 20
Denver, CO 80246-8010 - Phone
- (303) 360-0727
- NPI assigned
- Feb 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BACB482887 | MO | |
| Occupational Therapist | 225X00000X | OT.0007601 | CO | Primary |
Addresses
Primary practice location
695 S Colorado Blvd Ste 20
Denver, CO 80246-8010
Mailing address
2620 Forum Blvd Ste E
Columbia, MO 65203-5454
Phone (573) 614-0114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB482887 | MO | MD | Behavioral Analyst |
| OT.0007601 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1326672445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 FORUM BLVD STE E",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652035454",
"telephone_number": "573-614-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 S COLORADO BLVD STE 20",
"city": "DENVER",
"state": "CO",
"postal_code": "802468010",
"telephone_number": "303-360-0727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELLABAUM",
"first_name": "MARGARET",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-27",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "BACB482887",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT.0007601",
"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 Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.