Active NPI
Haaksma Outpatient Therapies Inc
- Speech-Language Pathologist
- Parker, CO
National Provider Identifier
1407406127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- HAAKSMA OUTPATIENT THERAPIES INC
- Practice address
- 11479 Pine Dr Ofc 2
Parker, CO 80134-7308 - Phone
- (303) 840-6374
- Fax
- (303) 374-8290
- NPI assigned
- Sep 14, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brenda Haaksma, MA, CCC-SLP
- Title
- President
- Phone
- (303) 919-6799
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Pediatric Physical Therapist | 2251P0200X | |||
| Occupational Therapist | 225X00000X | |||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
11479 Pine Dr Ofc 2
Parker, CO 80134-7308
Mailing address
1818 Whirlaway CT SE
Grand Rapids, MI 49546-8280
Phone (303) 919-6799
National Provider Directory
National Provider DirectoryLocations
11479 Pine Dr
Ofc 2
Parker, CO 80134
Phone (303) 840-6374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568419200000",
"number": "1407406127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 WHIRLAWAY CT SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468280",
"telephone_number": "303-919-6799",
"fax_number": "303-374-8290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11479 PINE DR OFC 2",
"city": "PARKER",
"state": "CO",
"postal_code": "801347308",
"telephone_number": "303-840-6374",
"fax_number": "303-374-8290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAAKSMA OUTPATIENT THERAPIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-14",
"last_updated": "2019-09-14",
"status": "A",
"authorized_official_last_name": "HAAKSMA",
"authorized_official_first_name": "BRENDA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "303-919-6799",
"authorized_official_credential": "MA, CCC-SLP"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.