Active NPI
Viviana Villalobos, COTA
- Occupational Therapy Assistant
- Denver, CO
National Provider Identifier
1346964590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 474280
- Practice address
- 4500 E Cherry Creek South Dr Ste 710
Denver, CO 80246-1534 - Phone
- (303) 432-8487
- NPI assigned
- Sep 30, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 474280 | CO | Primary |
Addresses
Primary practice location
4500 E Cherry Creek South Dr Ste 710
Denver, CO 80246-1534
Mailing address
1440 W 116TH Ave Apt 22
Westminster, CO 80234-2800
Phone (562) 519-3061
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | securerecords | ||
| CONNECT URL | .com |
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 |
|---|---|---|---|
| 474280 | CO | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664496000000",
"number": "1346964590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 W 116TH AVE APT 22",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "802342800",
"telephone_number": "562-519-3061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 E CHERRY CREEK SOUTH DR STE 710",
"city": "DENVER",
"state": "CO",
"postal_code": "802461534",
"telephone_number": "303-432-8487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLALOBOS",
"first_name": "VIVIANA",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-30",
"last_updated": "2022-09-30",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CO",
"license": "474280",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "securerecords",
"affiliation": "N",
"address_1": "4500 E Cherry Creek South Dr Ste 710",
"city": "Denver",
"state": "CO",
"country_code": "US",
"postal_code": "802461534",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": ".com",
"affiliation": "N",
"address_1": "4500 E Cherry Creek South Dr Ste 710",
"city": "Denver",
"state": "CO",
"country_code": "US",
"postal_code": "802461534",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.