Individual provider Active NPI

Nicole Helene Verrett, OTR-L

  • Pediatric Occupational Therapist
  • Centennial, CO
National Provider Identifier
1356567036
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
.0007509 Issued in CO
Practice address
22195 E Lake Ave
Centennial, CO 80015-4578
Phone
(720) 446-1885
Fax
(720) 552-5598
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X .0007509 CO Primary

Addresses

Primary practice location

22195 E Lake Ave
Centennial, CO 80015-4578

Mailing address

295 Oneida St
Denver, CO 80220-6024
Phone (609) 784-4294

Other practice location 1

9900 E Iliff Ave
Denver, CO 80231-3462
Phone (303) 247-8423

Other identifiers 1

IdentifierTypeStateIssuer
1010901590003MedicaidPA

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
.0007509COMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Purple Turtle Pediatric Therapy, LLC Occupational Therapist CurrentSince Jun 16, 2024 Accepting new patients
Early Years Intervention Services, Inc. Occupational Therapist Past Accepting new patients
LG Intervention Specialists, Inc. Occupational Therapist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1356567036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 ONEIDA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802206024",
            "telephone_number": "609-784-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22195 E LAKE AVE",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800154578",
            "telephone_number": "720-446-1885",
            "fax_number": "720-552-5598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9900 E Iliff Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802313462",
            "country_code": "US",
            "telephone_number": "303-247-8423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERRETT",
        "first_name": "NICOLE",
        "middle_name": "HELENE",
        "credential": "OTR-L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CO",
            "license": ".0007509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010901590003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.