Individual provider Active NPI

Kimberly Hodoval, MSOTR/L

  • Occupational Therapist
  • Aurora, CO
National Provider Identifier
1477887123
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
.0005802 Issued in CO
Practice address
1950 S Dayton St
Aurora, CO 80247-3452
Phone
(773) 760-3232
NPI assigned
Sep 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X
Occupational Therapist 225X00000X .0005802 CO Primary

Addresses

Primary practice location

1950 S Dayton St
Aurora, CO 80247-3452

Mailing address

1317 Briarhollow LN
Highlands Ranch, CO 80129-5639
Phone (773) 760-3232

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230421000456 CO Practitioner - Occupational Therapist in Private Practice 4486019767 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

6767 S Broadway
Littleton, CO 80122-8002
Phone (303) 797-9121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
.0005802COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Mar 11, 2023 Accepting new patients
Legacy Healthcare Services Inc. Occupational Therapist CurrentSince Nov 1, 2025 Accepting new patients
Empowerme Rehabilitation Colorado, LLC Occupational Therapist CurrentSince Jul 1, 2025 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Mar 11, 2023 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Nov 1, 2025 Accepting new patients

Locations

4950 Thunderbird Dr
Boulder, CO 80303
Phone (303) 499-4888

5130 W Ken Caryl Ave
Littleton, CO 80128
Phone (303) 973-5115

6767 S Broadway
Littleton, CO 80122
Phone (303) 647-5780

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Organizations & group practices 5

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": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1477887123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 BRIARHOLLOW LN",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801295639",
            "telephone_number": "773-760-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 S DAYTON ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "802473452",
            "telephone_number": "773-760-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODOVAL",
        "first_name": "KIMBERLY",
        "name_prefix": "Miss",
        "credential": "MSOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": ".0005802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 25, 2020; 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.