Active NPI
Carolyn Rose Coates, OTR/L
- Occupational Therapist
- Johnstown, CO
National Provider Identifier
1639835283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 462406
- Practice address
- 4435 Ronald Reagan Blvd
Johnstown, CO 80534-6566 - Phone
- (650) 380-4504
- NPI assigned
- Nov 9, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 462406 | CO | Primary |
Addresses
Primary practice location
4435 Ronald Reagan Blvd
Johnstown, CO 80534-6566
Mailing address
4435 Ronald Reagan Blvd
Johnstown, CO 80534-6566
Phone (650) 380-4504
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 |
|---|---|---|---|
| 462406 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636416000000",
"number": "1639835283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4435 RONALD REAGAN BLVD",
"city": "JOHNSTOWN",
"state": "CO",
"postal_code": "805346566",
"telephone_number": "650-380-4504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4435 RONALD REAGAN BLVD",
"city": "JOHNSTOWN",
"state": "CO",
"postal_code": "805346566",
"telephone_number": "650-380-4504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COATES",
"first_name": "CAROLYN",
"middle_name": "ROSE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-09",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "462406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnstown, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.