Active NPI
Sara Ostrom
- Occupational Therapist
- Lafayette, CO
National Provider Identifier
1386855658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- AA603498
- Practice address
- 1400 Dixon St
Lafayette, CO 80026-2790 - Phone
- (303) 665-7789
- NPI assigned
- May 25, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | AA603498 | CO | Primary |
Addresses
Primary practice location
1400 Dixon St
Lafayette, CO 80026-2790
Mailing address
2311 Creekside Dr
Longmont, CO 80504-7790
Phone (303) 651-3755
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
| License | State | Type | Specialty |
|---|---|---|---|
| AA603498 | CO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Developmental Disabilities Center | Past | Accepting new patients | |
| Developmental Disabilities Center | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Imagine
- Developmentally Disabled Services Day Training Agency
- Lafayette, CO
- NPI 1831236009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386855658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 CREEKSIDE DR",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805047790",
"telephone_number": "303-651-3755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 DIXON ST",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800262790",
"telephone_number": "303-665-7789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSTROM",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "AA603498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.