Active NPI
Mark Borrego, OTR
- Occupational Therapist
- Lakewood, CO
National Provider Identifier
1457581092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1021498
- Practice address
- 7100 W 13TH Ave
Lakewood, CO 80214-4700 - Phone
- (303) 770-4682
- Fax
- (303) 770-4812
- NPI assigned
- Jul 16, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1021498 | CO | Primary |
Addresses
Primary practice location
7100 W 13TH Ave
Lakewood, CO 80214-4700
Mailing address
7100 W 13TH Ave
Lakewood, CO 80214-4700
Phone (303) 770-4682
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1021498 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247702400000",
"number": "1457581092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 W 13TH AVE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802144700",
"telephone_number": "303-770-4682",
"fax_number": "303-770-4812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 W 13TH AVE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802144700",
"telephone_number": "303-770-4682",
"fax_number": "303-770-4812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORREGO",
"first_name": "MARK",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-16",
"last_updated": "2009-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "1021498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.