Individual provider Active NPI

Allisha K Enck, OTD

  • Occupational Therapist
  • Longmont, CO
National Provider Identifier
1528531670
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0005543 Issued in CO
Practice address
1236 Sumner St
Longmont, CO 80501-3729
Phone
(303) 906-0274
NPI assigned
Jan 10, 2019
Last updated
May 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2020

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.0005543 CO Primary

Addresses

Primary practice location

1236 Sumner St
Longmont, CO 80501-3729

Mailing address

1236 Sumner St
Longmont, CO 80501-3729
Phone (303) 906-2743

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

State licenses

LicenseStateTypeSpecialty
OT.0005543COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Functionable Therapies Occupational Therapist CurrentSince Jun 28, 2020 Accepting new patients
Cog Restore, LLC Past Accepting new patients
JS Therapies, LLC Occupational Therapist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1528531670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 SUMNER ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013729",
            "telephone_number": "303-906-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 SUMNER ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013729",
            "telephone_number": "303-906-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENCK",
        "first_name": "ALLISHA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0005543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.