Individual provider Active NPI

Alexis Brozovich, BS, MOT

  • Occupational Therapist
  • Greeley, CO
National Provider Identifier
1508577123
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0007680 Issued in CO
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

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OT.0007680COMDOccupational 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.

Verify at the official NPI Registry.