Individual provider Active NPI

Tatum Sharon Badger, OT

  • Occupational Therapist
  • Boulder, CO
National Provider Identifier
1356114458
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0007969 Issued in CO
Practice address
6500 Arapahoe Rd
Boulder, CO 80303-1407
Phone
(602) 821-6863
NPI assigned
Nov 1, 2023
Last updated
Aug 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.0007969 CO Primary

Addresses

Primary practice location

6500 Arapahoe Rd
Boulder, CO 80303-1407

Mailing address

6500 Arapahoe Rd
Boulder, CO 80303-1407

Other practice location 1

4101 S Bannock St # 80110
Englewood, CO 80110-4605
Phone (303) 806-2018

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

LicenseStateTypeSpecialty
OT.0007969COMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1356114458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 ARAPAHOE RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 ARAPAHOE RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031407",
            "telephone_number": "602-821-6863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4101 S Bannock St # 80110",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801104605",
            "country_code": "US",
            "telephone_number": "303-806-2018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADGER",
        "first_name": "TATUM",
        "middle_name": "SHARON",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-01",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0007969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.