Active NPI
Barbara Lee Hofmann, OTR
- Occupational Therapist
- Boulder, CO
National Provider Identifier
1336247923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- AA136960
- Practice address
- 1510 Oak Ave
Boulder, CO 80304-1254 - Phone
- (303) 449-2759
- Fax
- (303) 449-6291
- NPI assigned
- Sep 20, 2006
- Last updated
- Mar 8, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | AA136960 | CO | Primary |
Addresses
Primary practice location
1510 Oak Ave
Boulder, CO 80304-1254
Mailing address
1750 30TH St
#516
Boulder, CO 80301
Phone (303) 449-2759
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31907067 | Medicaid | CO |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 828 | CO | MD | Acupuncturist |
| AA136960 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299542400000",
"number": "1336247923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 30TH ST",
"address_2": "#516",
"city": "BOULDER",
"state": "CO",
"postal_code": "80301",
"telephone_number": "303-449-2759",
"fax_number": "303-449-6291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 OAK AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803041254",
"telephone_number": "303-449-2759",
"fax_number": "303-449-6291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFMANN",
"first_name": "BARBARA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2011-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "AA136960",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31907067",
"state": "CO"
}
],
"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 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.