Active NPI
Rowen M Gibson, OTR/L, CLT-LANA, CWT
- Occupational Therapist
- Denver, CO
National Provider Identifier
1497244685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0005402
- Practice address
- 400 N Grant St Unit 119
Denver, CO 80203-4488 - Phone
- (805) 704-3052
- NPI assigned
- May 3, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0005402 | CO | Primary |
Addresses
Primary practice location
400 N Grant St Unit 119
Denver, CO 80203-4488
Mailing address
400 N Grant St Unit 119
Denver, CO 80203-4488
Phone (805) 704-3052
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0005402 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1497244685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N GRANT ST UNIT 119",
"city": "DENVER",
"state": "CO",
"postal_code": "802034488",
"telephone_number": "805-704-3052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N GRANT ST UNIT 119",
"city": "DENVER",
"state": "CO",
"postal_code": "802034488",
"telephone_number": "805-704-3052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "ROWEN",
"middle_name": "M",
"credential": "OTR/L, CLT-LANA, CWT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-03",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "0005402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.