Active NPI
Loretta L O'Dell
- Occupational Therapist
- Broomfield, CO
National Provider Identifier
1659505295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 548
- Practice address
- 4320 Red Deer TRL
Broomfield, CO 80020-8101 - Phone
- (303) 953-0694
- NPI assigned
- May 12, 2009
- Last updated
- May 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 548 | CO | Primary |
Addresses
Primary practice location
4320 Red Deer TRL
Broomfield, CO 80020-8101
Mailing address
4320 Red Deer TRL
Broomfield, CO 80020-8101
Phone (303) 953-0694
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 |
|---|---|---|---|
| 548 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242086400000",
"number": "1659505295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4320 RED DEER TRL",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800208101",
"telephone_number": "303-953-0694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 RED DEER TRL",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800208101",
"telephone_number": "303-953-0694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DELL",
"first_name": "LORETTA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-12",
"last_updated": "2009-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broomfield, CO
- James P Nutt, CNIM
- Nuvision Eye Care Colorado PLLC (NuVision Eye Care)
- Daniel Nye, DC
- Benjamin Thomas O'Banion, LPCC
- Dana O'Brien
- Oasis Home Care LLC
- Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
- Occupational Health Centers of the Southwest, P.a. (Concentra Medical Center)
- Krista Ochocki, LPC
- Brenda Ochylski, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.