Red Willow Occupational Myofascial

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

Legal business name

RED WILLOW OCCUPATIONAL MYOFASCIAL

Practice address

823 S Perry St
Suite 260
Castle Rock, CO 80104-1900

Phone

(303) 902-8476

Fax

(303) 265-9515

NPI assigned

Jan 28, 2008

Last updated

Aug 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juliann Hanson-Zlatev, OTR

Title

Occupational Therapist

Phone

(303) 902-8476

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1386821825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 S PERRY ST",
            "address_2": "SUITE 260",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041900",
            "telephone_number": "303-902-8476",
            "fax_number": "303-265-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 S PERRY ST",
            "address_2": "SUITE 260",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041900",
            "telephone_number": "303-902-8476",
            "fax_number": "303-265-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED WILLOW OCCUPATIONAL MYOFASCIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "HANSON-ZLATEV",
        "authorized_official_first_name": "JULIANN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "303-902-8476",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurorehabilitation Occupational Therapist in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Neurorehabilitation Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.