Individual provider Active NPI

McKenna Alexis Laferriere, OTR/L

  • Occupational Therapist
  • Parker, CO
National Provider Identifier
1568205060
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0008499 Issued in CO
Practice address
19284 Cottonwood Dr Ste 203
Parker, CO 80138-3881
Phone
(720) 788-7365
Fax
(720) 294-1426
NPI assigned
Jun 13, 2024
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 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.0008499 CO Primary

Addresses

Primary practice location

19284 Cottonwood Dr Ste 203
Parker, CO 80138-3881

Mailing address

6950 E Chenango Ave Apt 354
Denver, CO 80237-3246
Phone (720) 472-1092

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT.0008499COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Rock Therapies, LLC Occupational Therapist CurrentSince Jun 14, 2024 Accepting new patients
Castle Rock Therapies, LLC PastSince Jun 14, 2024 Accepting new patients

Locations

4700 Castleton Way
Ste 300
Castle Rock, CO 80109
Phone (720) 788-7365

19284 Cottonwood Dr
Ste 203
Parker, CO 80138
Phone (720) 788-7365

Organizations & group practices 2

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": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1568205060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 E CHENANGO AVE APT 354",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373246",
            "telephone_number": "720-472-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19284 COTTONWOOD DR STE 203",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383881",
            "telephone_number": "720-788-7365",
            "fax_number": "720-294-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFERRIERE",
        "first_name": "MCKENNA",
        "middle_name": "ALEXIS",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0008499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.