Grand Potential LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GRAND POTENTIAL LLC

Practice address

66 Lyons Homestead Dr
Grand Lake, CO 80447-8044

Phone

(303) 590-8611

NPI assigned

Jan 6, 2023

Organization subpart

No

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

Authorized official

Name

Marissa Spurlin, OTR/LNPI 1528771706

Title

Otr/L

Phone

(303) 590-8611

Specialties & licenses 1

Addresses

Practitioners 1

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

• Marissa D Spurlin, OTR/L

  • Occupational Therapist
  • Grand Lake, CO
  • NPI 1528771706
  NPD Authorized official

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1356055180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677",
            "city": "GRANBY",
            "state": "CO",
            "postal_code": "804460677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 LYONS HOMESTEAD DR",
            "city": "GRAND LAKE",
            "state": "CO",
            "postal_code": "804478044",
            "telephone_number": "303-590-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND POTENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "SPURLIN",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "OTR/L",
        "authorized_official_telephone_number": "303-590-8611",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Anyse Castro, DPT
• Grand Lake Fire Protection District
• Kremmling Memorial Hospital District (Middle Park Health - Grand Lake Clinic)
• Cecilia Mix
• Geraldine Bernadette Moat, D.C.
• Patrickwilliamsmd,PLLC
• Marissa D Spurlin, OTR/L

• Home Health Agency in Grand Lake, CO
• Providers in Grand Lake, CO by specialty
• Home Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.