Active NPI
Melissa Callaghan, OTR/L
- Occupational Therapist
- Broomfield, CO
National Provider Identifier
1336659853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0005190
- Practice address
- 3305 W 144TH Ave Unit 200
Broomfield, CO 80023-9483 - Phone
- (303) 659-8822
- NPI assigned
- Oct 10, 2017
- 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 | 0005190 | CO | Primary |
Addresses
Primary practice location
3305 W 144TH Ave Unit 200
Broomfield, CO 80023-9483
Mailing address
3305 W 144TH Ave Unit 200
Broomfield, CO 80023-9483
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 |
|---|---|---|---|
| 0005190 | CO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children Matter, LLC | Occupational Therapist | Past | Accepting new patients |
| Rocky Mountain Human Services | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
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- Speech-Language Pathologist
- Broomfield, CO
- NPI 1609109065
Occupational Therapist
-
- Developmental Disabilities Clinic/Center
- Denver, CO
- NPI 1316291040
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507593600000",
"number": "1336659853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3305 W 144TH AVE UNIT 200",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800239483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3305 W 144TH AVE UNIT 200",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800239483",
"telephone_number": "303-659-8822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAGHAN",
"first_name": "MELISSA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-10",
"last_updated": "2017-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "0005190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.