Kassidy Marie Mayer

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA.0001532 Issued in CO

Practice address

3833 W 127TH Ave
Broomfield, CO 80020-5310

Phone

(319) 429-1377

NPI assigned

Jan 10, 2022

Last updated

Jan 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1356002562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 W 127TH AVE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800205310",
            "telephone_number": "319-429-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 W 127TH AVE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800205310",
            "telephone_number": "319-429-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "KASSIDY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "OTA.0001532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquele Maurer, L.AC.
• Judy Maxfield, MT
• Kerstin Violet May-Higgins, EEG
• Jennifer Weeks Maybach, MSPT
• Victoria Maybruck
• Sally Mayer
• Joseph D. Mazzola, D.D.S.
• Annie McAleer, PHARMD
• McBride Family Dentistry
• Stephanie McBride, LPC

• Occupational Therapy Assistant in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Occupational Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.

Verify at the official NPI Registry.