Active NPI
Kim Bond
- Occupational Therapist
- Boulder, CO
National Provider Identifier
1578993374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0002706
- Practice address
- 2525 Arapahoe Ave # E4-168
Boulder, CO 80302-6720 - Phone
- (303) 856-8790
- NPI assigned
- Nov 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0002706 | CO | Primary |
Addresses
Primary practice location
2525 Arapahoe Ave # E4-168
Boulder, CO 80302-6720
Mailing address
2525 Arapahoe Ave # E4-168
Boulder, CO 80302-6720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002706 | Other | CO | CO DEPARTMENT OF REGULATORY AGENCIES (DORA) FOR OT LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0002706 | CO | MD | Family Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384473600000",
"number": "1578993374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 ARAPAHOE AVE # E4-168",
"city": "BOULDER",
"state": "CO",
"postal_code": "803026720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 ARAPAHOE AVE # E4-168",
"city": "BOULDER",
"state": "CO",
"postal_code": "803026720",
"telephone_number": "303-856-8790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOND",
"first_name": "KIM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-15",
"last_updated": "2013-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "0002706",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CO DEPARTMENT OF REGULATORY AGENCIES (DORA) FOR OT LICENSE",
"identifier": "0002706",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.