Active NPI
Alexis Brozovich, BS, MOT
- Occupational Therapist
- Greeley, CO
National Provider Identifier
1508577123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.0007680
- Practice address
- 5699 W 20TH St
Greeley, CO 80634-2915 - Phone
- (970) 451-1234
- Fax
- (970) 284-7892
- NPI assigned
- Dec 6, 2022
- Sex
- Female
- 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 | OT.0007680 | CO | Primary |
Addresses
Primary practice location
5699 W 20TH St
Greeley, CO 80634-2915
Mailing address
3003 Sheridan Ave
Loveland, CO 80538-2644
Phone (303) 999-9730
Other practice location 1
3003 Sheridan Ave
Loveland, CO 80538-2644
Phone (303) 999-9730
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT.0007680 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1508577123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 SHERIDAN AVE",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805382644",
"telephone_number": "303-999-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5699 W 20TH ST",
"city": "GREELEY",
"state": "CO",
"postal_code": "806342915",
"telephone_number": "970-451-1234",
"fax_number": "970-284-7892"
}
],
"practiceLocations": [
{
"address_1": "3003 Sheridan Ave",
"address_purpose": "LOCATION",
"city": "Loveland",
"state": "CO",
"postal_code": "805382644",
"country_code": "US",
"telephone_number": "303-999-9730",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROZOVICH",
"first_name": "ALEXIS",
"credential": "BS, MOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-06",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT.0007680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.