Active NPI
Kolb Pediatric Occupational Therapy Consulting, LLC
- Pediatric Occupational Therapist
- Parker, CO
National Provider Identifier
1477269124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Legal business name
- KOLB PEDIATRIC OCCUPATIONAL THERAPY CONSULTING, LLC
- Practice address
- 15555 Carob Cir
Parker, CO 80134-4407 - Phone
- (612) 275-9109
- NPI assigned
- Jan 26, 2023
- Last updated
- Aug 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sara Marean, OTD, OTR/L
- Title
- Occupational Therapist
- Phone
- (612) 275-9109
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
15555 Carob Cir
Parker, CO 80134-4407
Mailing address
15555 Carob Cir
Parker, CO 80134-4407
Phone (612) 275-9109
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000213385 | Medicaid | CO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Early Intervention Provider Agency
- Parker, CO
- NPI 1992140503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723161600000",
"number": "1477269124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15555 CAROB CIR",
"city": "PARKER",
"state": "CO",
"postal_code": "801344407",
"telephone_number": "612-275-9109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15555 CAROB CIR",
"city": "PARKER",
"state": "CO",
"postal_code": "801344407",
"telephone_number": "612-275-9109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOLB PEDIATRIC OCCUPATIONAL THERAPY CONSULTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-26",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A",
"authorized_official_last_name": "MAREAN",
"authorized_official_first_name": "SARA",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "612-275-9109",
"authorized_official_credential": "OTD, OTR/L"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000213385",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.