Active NPI
Andrew Stover
- Occupational Therapist
- Colorado Springs, CO
National Provider Identifier
1396013629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2462
- Practice address
- 1222 Hermosa Way
Colorado Springs, CO 80905-7729 - Phone
- (719) 329-1963
- NPI assigned
- Dec 1, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 2462 | CO | Primary |
Addresses
Primary practice location
1222 Hermosa Way
Colorado Springs, CO 80905-7729
Mailing address
PO Box 832
Colorado Springs, CO 80901-0832
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 |
|---|---|---|---|
| 2462 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1396013629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 832",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809010832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 HERMOSA WAY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809057729",
"telephone_number": "719-329-1963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOVER",
"first_name": "ANDREW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-01",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "2462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.