Active NPI
Janiece T Commanche
- Occupational Therapy Assistant
- Durango, CO
National Provider Identifier
1619652856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA22006
- Practice address
- 450 Prospector Ave
Durango, CO 81301-7940 - Phone
- (970) 828-1414
- NPI assigned
- Jun 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA.0001700 | CO | |
| Occupational Therapy Assistant | 224Z00000X | OTA22006 | NM | Primary |
Addresses
Primary practice location
450 Prospector Ave
Durango, CO 81301-7940
Mailing address
PO Box 467
Nageezi, NM 87037-0467
Phone (505) 686-0255
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 |
|---|---|---|---|
| OTA.0001700 | CO | MD | Occupational Therapy Assistant |
| OTA22006 | NM | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1619652856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 467",
"city": "NAGEEZI",
"state": "NM",
"postal_code": "870370467",
"telephone_number": "505-686-0255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 PROSPECTOR AVE",
"city": "DURANGO",
"state": "CO",
"postal_code": "813017940",
"telephone_number": "970-828-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMMANCHE",
"first_name": "JANIECE",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-15",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CO",
"license": "OTA.0001700",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NM",
"license": "OTA22006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durango, CO
- Colorado Diagnostics Lab LLC
- Colorado Diagnostics Lab LLC
- Colorado Diagnostics Lab LLC
- Colorado Hospice LLC (Harden Hospice COLORADO)
- Columbine Chiropractic Health Center, PC (Antoinette Nowakowski, D.C., D.A.B.C.O.)
- Community Connections Inc.
- Community Connections Inc.
- Community Connections Inc.
- Renee Compagna, LMT
- Stephanie Noelle Connely, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.