NPIMap

Organization Active NPI

Amaryllis Therapy Network, Inc.

  • Occupational Therapist
  • Denver, CO
National Provider Identifier
1629487947
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
AMARYLLIS THERAPY NETWORK, INC.
Practice address
4704 Harlan St Ste 200
Denver, CO 80212-7417
Phone
(303) 433-0852
Fax
(303) 477-9223
NPI assigned
Aug 12, 2014
Last updated
Nov 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Authorized official

Name
Ms. Cynthia Ann Clark, OTR/LNPI 1407870397
Title
President
Phone
(303) 433-0852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Occupational Therapist 225X00000X Primary
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

4704 Harlan St Ste 200
Denver, CO 80212-7417

Mailing address

4704 Harlan St Ste 200
Denver, CO 80212-7417
Phone (303) 433-0852

Other identifiers 1

IdentifierTypeStateIssuer
89957229MedicaidCO

National Provider Directory

National Provider Directory

Locations

4704 Harlan St
Ste 200
Denver, CO 80212
Phone (303) 433-0852

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1629487947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 HARLAN ST STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802127417",
            "telephone_number": "303-433-0852",
            "fax_number": "303-477-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 HARLAN ST STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802127417",
            "telephone_number": "303-433-0852",
            "fax_number": "303-477-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARYLLIS THERAPY NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-433-0852",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89957229",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.