Individual provider Active NPI

Susan Navilliat, OTR/L

  • Occupational Therapist
  • Westminster, CO
National Provider Identifier
1588038194
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT01510 Issued in RI
Practice address
10170 Church Ranch Way
Suite 125
Westminster, CO 80021-6073
Phone
(720) 706-3396
NPI assigned
Nov 19, 2015
Last updated
May 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.0007939 CO
Occupational Therapist 225X00000X OT01510 RI Primary

Addresses

Primary practice location

10170 Church Ranch Way
Suite 125
Westminster, CO 80021-6073

Mailing address

10170 Church Ranch Way
Suite 125
Westminster, CO 80021-6073
Phone (720) 706-3396

Other practice location 1

3401 Quebec Street
Suite 3500
Denver, CO 80207-2000
Phone (720) 706-3396

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.0007939COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Soar Health, Inc. Occupational Therapist PastSince Jun 4, 2023 Accepting new patients

Organizations & group practices 1

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": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1588038194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10170 CHURCH RANCH WAY",
            "address_2": "SUITE 125",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800216073",
            "telephone_number": "720-706-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10170 CHURCH RANCH WAY",
            "address_2": "SUITE 125",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800216073",
            "telephone_number": "720-706-3396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Quebec Street",
            "address_2": "Suite 3500",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802072000",
            "country_code": "US",
            "telephone_number": "720-706-3396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAVILLIAT",
        "first_name": "SUSAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0007939",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "RI",
            "license": "OT01510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.