Active NPI
Myldha Verdelus, OT
- Pediatric Occupational Therapist
- Aurora, CO
National Provider Identifier
1336793942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- .0005964
- Practice address
- 3131 S Vaughn Way Ste 110
Aurora, CO 80014-3501 - Phone
- (303) 755-5534
- NPI assigned
- Jul 31, 2019
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | .0005964 | CO | Primary |
Addresses
Primary practice location
3131 S Vaughn Way Ste 110
Aurora, CO 80014-3501
Mailing address
926 Graland LN
Highlands Ranch, CO 80126-5571
Phone (754) 234-2243
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 |
|---|---|---|---|
| .0005964 | CO | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1336793942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 GRALAND LN",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801265571",
"telephone_number": "754-234-2243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 S VAUGHN WAY STE 110",
"city": "AURORA",
"state": "CO",
"postal_code": "800143501",
"telephone_number": "303-755-5534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERDELUS",
"first_name": "MYLDHA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-31",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CO",
"license": ".0005964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.