Individual provider Active NPI

Cara Grady Kellstrom, OTR/L

  • Occupational Therapist
  • Aurora, CO
National Provider Identifier
1477506368
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1342 Issued in CO
Practice address
6235 S Main St Ste C-101
Aurora, CO 80016-5373
Phone
(303) 344-9090
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1342 CO Primary
Occupational Therapist 225X00000X OT-486 WY

Addresses

Primary practice location

6235 S Main St Ste C-101
Aurora, CO 80016-5373

Mailing address

68 S MC Intyre Way
Golden, CO 80401-5083

Other practice location 1

1248 S Broadway
Denver, CO 80210-1504
Phone (720) 699-9095

Other practice location 2

2801 Youngfield St.
Suite 371
Golden, CO 80401
Phone (303) 954-8878

Other identifiers 1

IdentifierTypeStateIssuer
89902378MedicaidCO

Other names 1

  • Cara Thompson Grady Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250616002355 CO Practitioner - Occupational Therapist in Private Practice 5496943011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Maryland School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1248 S Broadway
Denver, CO 80210-1504
Phone (720) 699-9095

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

8550 W 38TH Ave
100 Wheat Ridge Clinic Physical Therapy
Wheat Ridge, CO 80033-4341
Phone (303) 467-4121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1342COMDClinical Social Worker
OT-486WYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Centers of Colorado, LLC Occupational Therapist CurrentSince Apr 3, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince May 24, 2025 Accepting new patients
Orthopedic Centers of Colorado, LLC Occupational Therapist CurrentSince Apr 3, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince May 24, 2025 Accepting new patients
Leela Mundra MD, PLLC Past Accepting new patients

Locations

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

6235 S Main St
Ste 101
Aurora, CO 80016
Phone (303) 785-7928

6235 S Main St
Ste C101
Aurora, CO 80016

12169 Sheridan Blvd
Broomfield, CO 80020
Phone (303) 439-0169

1248 S Broadway
Denver, CO 80210
Phone (720) 699-9095

12905 W 40th Ave
Ste 520
Golden, CO 80401
Phone (720) 593-3998

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

3 Superior Dr
Ste 225
Superior, CO 80027
Phone 3036652603106

500 W 144th Ave
Ste 230
Westminster, CO 80023
Phone 3036652603 ext. 223

8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100

Organizations & group practices 6

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1477506368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 S MC INTYRE WAY",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015083",
            "fax_number": "303-362-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6235 S MAIN ST STE C-101",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165373",
            "telephone_number": "303-344-9090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1248 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802101504",
            "country_code": "US",
            "telephone_number": "720-699-9095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Youngfield St.",
            "address_2": "Suite 371",
            "address_purpose": "LOCATION",
            "city": "Golden",
            "state": "CO",
            "postal_code": "80401",
            "country_code": "US",
            "telephone_number": "303-954-8878",
            "fax_number": "303-362-0946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLSTROM",
        "first_name": "CARA",
        "middle_name": "GRADY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "1342",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OT-486",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902378",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARA",
            "last_name": "GRADY",
            "middle_name": "THOMPSON",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.