Eagle Rock Therapy

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

EAGLE ROCK THERAPY

Practice address

2951 US-50 St. Mary'S Building
Room 101
Canon City, CO 81212-8121

Phone

(425) 387-1137

Fax

(719) 434-9895

NPI assigned

Dec 16, 2024

Organization subpart

No

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

Authorized official

Name

Michael GreenwoodNPI 1679044622

Title

Ceo/ Occupational Therapist

Phone

(425) 387-1137

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Greenwood, OTR

  • Occupational Therapist
  • Pueblo, CO
  • NPI 1679044622
  NPD Authorized official

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1336956176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 FOWLER ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123931",
            "telephone_number": "425-387-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 US-50 ST. MARY'S BUILDING",
            "address_2": "ROOM 101",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812128121",
            "telephone_number": "425-387-1137",
            "fax_number": "719-434-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE ROCK THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "GREENWOOD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO/ OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "425-387-1137"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan E Drossel, PA-C
• Art Ducharme, CACIII
• Kylie Erin Dunne, MA, CF-SLP
• Suzette Marie Duston
• Janice Chamelin Eades, FNP
• Ease-E Medical Inc.
• Cresta Ebenstein, MA
• Josi L Edwards, LPN
• Dave Earl Egerdahl, R.D.
• Elevation Counseling Services Inc.

• Occupational Therapist in Canon City, CO
• Providers in Canon City, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.