Individual provider Active NPI

Sally Venard, OTRL

  • Occupational Therapist
  • Denver, CO
National Provider Identifier
1376773119
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT1063 Issued in OK
Practice address
1109 S Milwaukee St
Denver, CO 80210-2022
Phone
(405) 740-4486
NPI assigned
Jul 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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 OT1063 OK Primary

Addresses

Primary practice location

1109 S Milwaukee St
Denver, CO 80210-2022

Mailing address

1109 S Milwaukee St
Denver, CO 80210-2022
Phone (405) 740-4486

Other identifiers 1

IdentifierTypeStateIssuer
OT1063OtherOKOT LICENSE

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
OT1063OKMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1376773119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 S MILWAUKEE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102022",
            "telephone_number": "405-740-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 S MILWAUKEE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102022",
            "telephone_number": "405-740-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENARD",
        "first_name": "SALLY",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "OT1063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "OT1063",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.