Active NPI
Laura Jean Watrous, OTR/L, CLT-LANA, CHT
- Physical Rehabilitation Occupational Therapist
- Eagle, CO
National Provider Identifier
1336336346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 2963
- Practice address
- 377 Sylvan Lake Rd Ste 130
Eagle, CO 81631-6779 - Phone
- (970) 328-6715
- NPI assigned
- Oct 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurorehabilitation Occupational Therapist | 225XN1300X | 2963 | CO | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 2963 | CO | Primary |
Addresses
Primary practice location
377 Sylvan Lake Rd Ste 130
Eagle, CO 81631-6779
Mailing address
PO Box 40000
Vail, CO 81658-7520
Other practice location 1
VVMC,181 West Meadow Dr.
Vail, CO 81657
Phone (970) 476-1225
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | VVMC.DIRECT@direct.vvmc.com | Health Information Exchange (HIE) | VAIL CLINIC INC |
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 |
|---|---|---|---|
| 2963 | CO | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1336336346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40000",
"city": "VAIL",
"state": "CO",
"postal_code": "816587520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 SYLVAN LAKE RD STE 130",
"city": "EAGLE",
"state": "CO",
"postal_code": "816316779",
"telephone_number": "970-328-6715"
}
],
"practiceLocations": [
{
"address_1": "VVMC,181 West Meadow Dr.",
"address_purpose": "LOCATION",
"city": "Vail",
"state": "CO",
"postal_code": "81657",
"country_code": "US",
"telephone_number": "970-476-1225",
"fax_number": "970-470-6653",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATROUS",
"first_name": "LAURA",
"middle_name": "JEAN",
"credential": "OTR/L, CLT-LANA, CHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-03",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "CO",
"license": "2963",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "CO",
"license": "2963",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "VVMC.DIRECT@direct.vvmc.com",
"affiliation": "Y",
"affiliationName": "VAIL CLINIC INC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "181 W Meadow Dr",
"city": "Vail",
"state": "CO",
"country_code": "US",
"postal_code": "816575242",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Eagle, CO
- VVMC Diversified Services (Vail Health Clinic Eagle)
- Shannon Michelle Wagner, REGISTERED NURSE
- Jennie L. Wahrer, RN 0072621
- John A. Wald
- Kimberly D. Wallach, RN
- Sarah Ann Weatherred, RN
- Theodore Michael Weber, PT
- Western Eagle County Ambulance District
- Western Slope Home Care,Inc (DBA; Visiting Angels)
- Sara Whetstone, D.P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.