Active NPI
Noco Neurodevelopmental Treatment Specialists
- Neurorehabilitation Occupational Therapist
- Fort Collins, CO
National Provider Identifier
1639701642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurorehabilitation Occupational Therapist
- Legal business name
- NOCO NEURODEVELOPMENTAL TREATMENT SPECIALISTS
- Practice address
- 3932 John F Kennedy Pkwy Unit 10F
Fort Collins, CO 80525-3085 - Phone
- (970) 818-8768
- NPI assigned
- Feb 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maxine Haller, OTR/L
- Title
- Owner
- Phone
- (970) 818-8768
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurorehabilitation Occupational Therapist | 225XN1300X | Primary |
Addresses
Primary practice location
3932 John F Kennedy Pkwy Unit 10F
Fort Collins, CO 80525-3085
Mailing address
3932 John F Kennedy Pkwy Unit 10F
Fort Collins, CO 80525-3085
Phone (970) 818-8768
National Provider Directory
National Provider DirectoryLocations
3932 John F Kennedy Pkwy
Unit 10F
Fort Collins, CO 80525
Phone (970) 691-2106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581033600000",
"number": "1639701642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3932 JOHN F KENNEDY PKWY UNIT 10F",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805253085",
"telephone_number": "970-818-8768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3932 JOHN F KENNEDY PKWY UNIT 10F",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805253085",
"telephone_number": "970-818-8768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOCO NEURODEVELOPMENTAL TREATMENT SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-07",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A",
"authorized_official_last_name": "HALLER",
"authorized_official_first_name": "MAXINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-818-8768",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225XN1300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.