Individual provider Active NPI

Nicole Junker Mulcahy Coakley, OTR/L

  • Occupational Therapist
  • Northglenn, CO
National Provider Identifier
1528778065
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0007505 Issued in CO
Practice address
10701 Melody Dr Ste 100
Northglenn, CO 80234-4130
Phone
(651) 366-2587
NPI assigned
Nov 23, 2022
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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.0007505 CO Primary

Addresses

Primary practice location

10701 Melody Dr Ste 100
Northglenn, CO 80234-4130

Mailing address

10701 Melody Dr Ste 100
Northglenn, CO 80234-4130
Phone (720) 872-6472

Other names 1

  • Nicole Mulcahy Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328000054 CO Practitioner - Occupational Therapist in Private Practice 3870930688 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT.0007505COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc. Occupational Therapist CurrentSince Mar 5, 2024 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Mar 5, 2024 Accepting new patients
Childrens Therapy Services of Colorado, Inc. CurrentSince May 7, 2024 Accepting new patients

Locations

10701 Melody Dr
Ste 100
Northglenn, CO 80234
Phone (720) 212-8156

7700 W 101st Ave
Westminster, CO 80021
Phone (303) 465-0504

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (888) 654-1948

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": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1528778065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 MELODY DR STE 100",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344130",
            "telephone_number": "720-872-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 MELODY DR STE 100",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344130",
            "telephone_number": "651-366-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COAKLEY",
        "first_name": "NICOLE",
        "middle_name": "JUNKER MULCAHY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0007505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MULCAHY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.