NPIMap

Organization Active NPI

Growful Pediatric Occupational Therapy LLC.

  • Pediatric Occupational Therapist
  • Boulder, CO
National Provider Identifier
1467051128
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
GROWFUL PEDIATRIC OCCUPATIONAL THERAPY LLC.
Practice address
6861 Roaring Fork TRL
Boulder, CO 80301-3630
Phone
(720) 352-2777
NPI assigned
Oct 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Authorized official

Name
Caitlin Brooke, OTDNPI 1588216022
Title
Occupational Therapist
Phone
(720) 352-2777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

6861 Roaring Fork TRL
Boulder, CO 80301-3630

Mailing address

6861 Roaring Fork TRL
Boulder, CO 80301-3630

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NeoCertified

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1467051128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6861 ROARING FORK TRL",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6861 ROARING FORK TRL",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013630",
            "telephone_number": "720-352-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWFUL PEDIATRIC OCCUPATIONAL THERAPY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "BROOKE",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "720-352-2777",
        "authorized_official_credential": "OTD"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NeoCertified",
            "affiliation": "N",
            "address_1": "6861 Roaring Fork Trl",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803013630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.