Individual provider Active NPI

Kristen Banker, M.S., OTR/L

  • Occupational Therapist
  • Colorado Springs, CO
National Provider Identifier
1447636824
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT0000005121 Issued in TN
Practice address
5850 Morning Light Ter
Colorado Springs, CO 80919-3781
Phone
(888) 701-9216
Fax
(866) 569-1087
NPI assigned
Aug 7, 2015
Last updated
Aug 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT0000005121 TN Primary

Addresses

Primary practice location

5850 Morning Light Ter
Colorado Springs, CO 80919-3781

Mailing address

1760 Iver St
Colorado Springs, CO 80910-3271

Other identifiers 1

IdentifierTypeStateIssuer
MSOT.0000004OtherCOOT LICENSE

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT0000005121TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Front Range Pediatric Therapies LLC CurrentSince Aug 15, 2021 Accepting new patients
Front Range Pediatric Therapies LLC PastSince Aug 15, 2021 Accepting new patients
More Than Words Speech and Feeding Therapy, LLC PastSince Oct 8, 2023 Accepting new patients

Locations

5265 N Academy Blvd
Ste 3300
Colorado Springs, CO 80918
Phone (888) 701-9216

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1447636824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 IVER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 MORNING LIGHT TER",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193781",
            "telephone_number": "888-701-9216",
            "fax_number": "866-569-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKER",
        "first_name": "KRISTEN",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT0000005121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "MSOT.0000004",
            "state": "CO"
        }
    ],
    "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 Aug 13, 2021; 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.