Individual provider Active NPI

Sally Brown, MBA,OTR, CHT

  • Occupational Therapist
  • Boulder, CO
National Provider Identifier
1619244795
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1819 Issued in CO
Practice address
2850 Mapleton Ave
Boulder, CO 80301-1122
Phone
(720) 363-7269
NPI assigned
Nov 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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 1819 CO Primary

Addresses

Primary practice location

2850 Mapleton Ave
Boulder, CO 80301-1122

Mailing address

2187 Mead Dr
Boulder, CO 80301-5110
Phone (720) 363-7269

Other practice location 1

5485 Conestoga Ct Ste 100
Boulder, CO 80301-2752
Phone (720) 363-7269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120104000903 CO Practitioner - Occupational Therapist in Private Practice 2668648155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bouldercentre for Orthopedics PCGroup PAC ID 3971409020, 56 clinicians

Practice addresses (Care Compare)

4740 Pearl Pkwy
Suite 200
Boulder, CO 80301-3080
Phone (303) 449-2730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Radiologists Inc P C Past Accepting new patients
Bouldercentre for Orthopedics PastSince Feb 11, 2024 Accepting new patients
Bouldercentre for Orthopedics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sally.brown.1@3497.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3497/brand/1/csg/21/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1619244795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2187 MEAD DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803015110",
            "telephone_number": "720-363-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 MAPLETON AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011122",
            "telephone_number": "720-363-7269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5485 Conestoga Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803012752",
            "country_code": "US",
            "telephone_number": "720-363-7269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SALLY",
        "credential": "MBA,OTR, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "1819",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.