Lauren Marie Edmiston, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0007784 Issued in CO

Practice address

2 Oakwood Park PLZ Ste 200
Castle Rock, CO 80104-1885

Phone

(720) 788-7365

Fax

(720) 294-0284

NPI assigned

Jan 26, 2023

Last updated

Jan 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Castle Rock Therapies, LLC

  dba Fyzical Therapy & Balance Centers

  • Pediatric Occupational Therapist
  • Parker, CO
  • NPI 1992450076
  NPD (past)

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1417663121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OAKWOOD PARK PLZ STE 200",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041885",
            "telephone_number": "720-788-7365",
            "fax_number": "720-294-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OAKWOOD PARK PLZ STE 200",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041885",
            "telephone_number": "720-788-7365",
            "fax_number": "720-294-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMISTON",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0007784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eaa Co LLC (Elite Anesthesia Associates)
• Eagletail Health Care LLC
• Eagletail Health Care LLC
• Michelle Belle Eason-Delhougne, MD
• Cheryl Lynn Eastburn, A.C.M.T., A.NMT.
• Alessandra Edwards, FNP-C
• Kristin Marie Edwards, DO
• Madison Love Edwards, LCSW
• Jason Ehtessabian, D.D.S.
• Nadege Eilerman, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.