Bal Swan Children's Center

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Legal business name

BAL SWAN CHILDREN'S CENTER

Practice address

1145 E 13TH Ave
Broomfield, CO 80020-1301

Phone

(303) 466-6308

Fax

(303) 466-1224

NPI assigned

May 22, 2007

Last updated

Jun 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brian Scott Conly

Title

Executive Director

Phone

(303) 466-6308

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Meighan Connolly, MS, OT

  • Pediatric Occupational Therapist
  • Broomfield, CO
  • NPI 1841760774

  Pediatrics

  NPD (past)
• Alyssa Simko, M.ED., BCBA

  • Behavior Analyst
  • Bingham Farms, MI
  • NPI 1619347697
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1548479561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 E 13TH AVE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201301",
            "telephone_number": "303-466-6308",
            "fax_number": "303-466-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 E 13TH AVE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201301",
            "telephone_number": "303-466-6308",
            "fax_number": "303-466-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAL SWAN CHILDREN'S CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "CONLY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-466-6308",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08103747",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayley Ann Bagwell, CNIM
• Megan Ann Bahnson
• Meghan Bailey
• Emily Jane Baker, O.D.
• Savanah Brieann Baker, LMT
• Ellen Balkema, PHARMD
• Aubrey A Balmer, NP-C, FNP
• Caroline Bundrick Barajas, O.D.
• Elizabeth K Barbera, D.D.S.
• Judith Barckhotz

• Developmental Therapist in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Developmental Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.