Organization Active NPI

Outside the Box Pediatric Therapy, LLC

  • Occupational Therapist
  • Grand Junction, CO
National Provider Identifier
1548174659
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
OUTSIDE THE BOX PEDIATRIC THERAPY, LLC
Practice address
2794 Cheyenne Dr
Grand Junction, CO 81503-2870
Phone
(973) 476-6660
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Authorized official

Name
Nina Rose Incorvaia, OTR/LNPI 1336604800
Title
Owner
Phone
(973) 476-6660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

2794 Cheyenne Dr
Grand Junction, CO 81503-2870

Mailing address

2794 Cheyenne Dr
Grand Junction, CO 81503-2870
Phone (973) 476-6660

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1548174659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2794 CHEYENNE DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815032870",
            "telephone_number": "973-476-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2794 CHEYENNE DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815032870",
            "telephone_number": "973-476-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTSIDE THE BOX PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "INCORVAIA",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-476-6660",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.