Individual provider Active NPI

Jade Sharrer

  • Pediatric Occupational Therapist
  • Peyton, CO
National Provider Identifier
1376007716
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT.0005177 Issued in CO
Practice address
10850 E Woodmen Rd
Peyton, CO 80831-8127
Phone
(719) 495-1100
NPI assigned
Jan 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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 OT.0005177 CO Primary

Addresses

Primary practice location

10850 E Woodmen Rd
Peyton, CO 80831-8127

Mailing address

10850 E Woodmen Rd
Peyton, CO 80831-8127

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.0005177COMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso County Colorado School District 49 CurrentSince Dec 5, 2021 Accepting new patients
Front Range Pediatric Therapies LLC Pediatrics Past Accepting new patients

Locations

10850 E Woodmen Rd
Peyton, CO 80831
Phone (719) 485-1100

Organizations & group practices 2

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": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1376007716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 E WOODMEN RD",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808318127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 E WOODMEN RD",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808318127",
            "telephone_number": "719-495-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARRER",
        "first_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CO",
            "license": "OT.0005177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peyton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.