Individual provider Active NPI

Jamie Deboer, MS/ OTR/L

  • Occupational Therapist
  • Colorado Springs, CO
National Provider Identifier
1457182024
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7600 Issued in CO
Practice address
1060 Harrison Rd
Colorado Springs, CO 80905-3543
Phone
(719) 579-5255
NPI assigned
Aug 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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 7600 CO Primary

Addresses

Primary practice location

1060 Harrison Rd
Colorado Springs, CO 80905-3543

Mailing address

1060 Harrison Rd
Colorado Springs, CO 80905-3543
Phone (719) 579-5255

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
7600COMDPublic Health Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
County of El Paso School Dist 2 CurrentSince Aug 18, 2024 Accepting new patients

Locations

1060 Harrison Rd
Colorado Springs, CO 80905
Phone (719) 579-2000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1457182024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 HARRISON RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809053543",
            "telephone_number": "719-579-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 HARRISON RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809053543",
            "telephone_number": "719-579-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBOER",
        "first_name": "JAMIE",
        "credential": "MS/ OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "7600",
            "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 Aug 14, 2024; 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.