Individual provider Active NPI

Julie Marie McIntire, OTR

  • Occupational Therapist
  • Colorado Springs, CO
National Provider Identifier
1356595433
Registry record updated Nov 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
539098 Issued in CO
Practice address
2989 Broadmoor Valley Rd Ste D
Colorado Springs, CO 80906-4403
Phone
(719) 527-9331
NPI assigned
Nov 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2008

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 539098 CO Primary

Addresses

Primary practice location

2989 Broadmoor Valley Rd Ste D
Colorado Springs, CO 80906-4403

Mailing address

2719 Rigel Dr
Colorado Springs, CO 80906-1034
Phone (719) 475-7396

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
539098COMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1226793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226793600000",
    "number": "1356595433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 RIGEL DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809061034",
            "telephone_number": "719-475-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2989 BROADMOOR VALLEY RD STE D",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064403",
            "telephone_number": "719-527-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTIRE",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-16",
        "last_updated": "2008-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "539098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2008; 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.