Individual provider Active NPI

Hillary Kayris Vandergast, OTR/L

  • Pediatric Occupational Therapist
  • Colorado Springs, CO
National Provider Identifier
1386481232
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
.0005977 Issued in CO
Practice address
6050 Erin Park Dr
Colorado Springs, CO 80918-3488
Phone
(719) 465-3989
NPI assigned
Jul 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X .0005977 CO
Pediatric Occupational Therapist 225XP0200X .0005977 CO Primary

Addresses

Primary practice location

6050 Erin Park Dr
Colorado Springs, CO 80918-3488

Mailing address

1325 Promontory Crest VW
Colorado Springs, CO 80921-3950
Phone (719) 453-9310

Other practice location 1

7570 Tutt Blvd
Colorado Springs, CO 80924-4540
Phone (719) 900-1540

Other names 1

  • Hillary Vander Gast Baggett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240730001847 CO Practitioner - Occupational Therapist in Private Practice 9234676099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paxxon Healthcare Services LLCGroup PAC ID 8325959554, 153 clinicians

Practice addresses (Care Compare)

7600 Sandy Rock PT
Colorado Springs, CO 80924-5222
Phone (719) 960-4005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
.0005977COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paxxon Healthcare Services LLC Single Specialty CurrentSince Jul 23, 2024 Accepting new patients
Playdate, Inc Single Specialty Past Accepting new patients

Locations

7600 Sandy Rock Pt
Colorado Springs, CO 80924
Phone (719) 900-1531

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": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1386481232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 PROMONTORY CREST VW",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213950",
            "telephone_number": "719-453-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 ERIN PARK DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183488",
            "telephone_number": "719-465-3989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7570 Tutt Blvd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809244540",
            "country_code": "US",
            "telephone_number": "719-900-1540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERGAST",
        "first_name": "HILLARY",
        "middle_name": "KAYRIS",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": ".0005977",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CO",
            "license": ".0005977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILLARY",
            "last_name": "BAGGETT",
            "middle_name": "VANDER GAST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.