Organization Active NPI

Haaksma Outpatient Therapies Inc

  • Speech-Language Pathologist
  • Parker, CO
National Provider Identifier
1407406127
Registry record updated Sep 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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

Updated by the provider on Sep 14, 2019

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.