Active NPI
Kathleen Brough, MS, OTR/L
- Occupational Therapist
- Denver, CO
National Provider Identifier
1659754687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 004329
- Practice address
- 3401 Quebec St Ste 3500
Denver, CO 80207-2339 - Phone
- (720) 580-3068
- NPI assigned
- Jul 8, 2015
- 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 | 004329 | CO | Primary |
Addresses
Primary practice location
3401 Quebec St Ste 3500
Denver, CO 80207-2339
Mailing address
3768 S Mission Pkwy Apt D
Aurora, CO 80013-2467
Phone (719) 660-1875
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004329 | CO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soar Medical Services PLLC | Occupational Therapist | Past | Accepting new patients |
| Soar Health, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmental - Behavioral Pediatrics Physician
- Denver, CO
- NPI 1427932532
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1659754687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3768 S MISSION PKWY APT D",
"city": "AURORA",
"state": "CO",
"postal_code": "800132467",
"telephone_number": "719-660-1875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 QUEBEC ST STE 3500",
"city": "DENVER",
"state": "CO",
"postal_code": "802072339",
"telephone_number": "720-580-3068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROUGH",
"first_name": "KATHLEEN",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-08",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "004329",
"primary": true
}
],
"identifiers": [],
"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 Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.