Individual provider Active NPI

Kelli Stinton, OTD

  • Occupational Therapist
  • Boulder, CO
National Provider Identifier
1477124741
Registry record updated Mar 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0006932 Issued in CO
Practice address
575 Tantra Dr
Boulder, CO 80305-6195
Phone
(423) 534-3100
NPI assigned
Jul 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2023

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 OT.0006932 CO Primary

Addresses

Primary practice location

575 Tantra Dr
Boulder, CO 80305-6195

Mailing address

3305 W 144TH Ave Unit 200
Broomfield, CO 80023-9483
Phone (303) 284-6569

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

LicenseStateTypeSpecialty
OT.0006932COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Children Matter, LLC Occupational Therapist CurrentSince Mar 19, 2023 Accepting new patients
Children Matter LLC CurrentSince Mar 19, 2023 Accepting new patients

Locations

3305 W 144th Ave
Unit 200
Broomfield, CO 80023
Phone (303) 284-6569

Organizations & group practices 2

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": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678579200000",
    "number": "1477124741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 W 144TH AVE UNIT 200",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800239483",
            "telephone_number": "303-284-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 TANTRA DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803056195",
            "telephone_number": "423-534-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINTON",
        "first_name": "KELLI",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2023-03-12",
        "certification_date": "2023-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0006932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 12, 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.