Organization Active NPI

Online Therapy Services Inc.

Doing business as Mariposa Rehab Center

  • Speech-Language Pathologist
  • Trinidad, CO
National Provider Identifier
1336273143
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ONLINE THERAPY SERVICES INC.
Doing business as
Mariposa Rehab Center
Practice address
207 E Main
Trinidad, CO 81082
Phone
(719) 846-4178
Fax
(719) 846-4179
NPI assigned
Mar 15, 2007
Last updated
Jun 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Karen Malone, M.A., CCC-SLP
Title
President
Phone
(719) 846-4178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

207 E Main
Trinidad, CO 81082

Mailing address

207 E Main St
Trinidad, CO 81082-2710
Phone (719) 846-4178

Other identifiers 1

IdentifierTypeStateIssuer
06351239MedicaidCO

Other names 1

  • Mariposa Rehab Center Doing business as

National Provider Directory

National Provider Directory

Locations

207 E Main St
Trinidad, CO 81082
Phone (719) 846-4178

417 N Commercial St
Trinidad, CO 81082
Phone (719) 846-4178

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.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1336273143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E MAIN ST",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822710",
            "telephone_number": "719-846-4178",
            "fax_number": "719-846-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E MAIN",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "81082",
            "telephone_number": "719-846-4178",
            "fax_number": "719-846-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONLINE THERAPY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-846-4178",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06351239",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mariposa Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trinidad, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.