Individual provider Active NPI

Nancy J Schultz, OT

  • Occupational Therapist
  • Westminster, CO
National Provider Identifier
1356372882
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-1669 Issued in CO
Practice address
4750 W 120TH Ave
Suite 100
Westminster, CO 80020-3314
Phone
(303) 603-9400
Fax
(303) 603-9420
NPI assigned
Jul 5, 2006
Last updated
Nov 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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-1669 CO Primary

Addresses

Primary practice location

4750 W 120TH Ave
Suite 100
Westminster, CO 80020-3314

Mailing address

4750 W 120TH Ave
Suite 100
Westminster, CO 80020-3314
Phone (303) 603-9400

Other identifiers 1

IdentifierTypeStateIssuer
87820757MedicaidCO

Other names 1

  • Nancy J Rude Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT-1669COMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1356372882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 W 120TH AVE",
            "address_2": "SUITE 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800203314",
            "telephone_number": "303-603-9400",
            "fax_number": "303-603-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 W 120TH AVE",
            "address_2": "SUITE 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800203314",
            "telephone_number": "303-603-9400",
            "fax_number": "303-603-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "NANCY",
        "middle_name": "J",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT-1669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87820757",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "RUDE",
            "middle_name": "J",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.