Active NPI
Kimberly Ehrlich Furr, OTR
- Occupational Therapist
- Grand Junction, CO
National Provider Identifier
1669728416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2030
- Practice address
- 950 Grand Ave
Grand Junction, CO 81501-3451 - Phone
- (970) 243-3702
- NPI assigned
- Jul 31, 2012
- 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 | 2030 | CO | Primary |
Addresses
Primary practice location
950 Grand Ave
Grand Junction, CO 81501-3451
Mailing address
784 Crystal Way
Fruita, CO 81521-3317
Phone (970) 270-3646
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800636 | Medicaid | CO | |
| 2030 | Other | CO | COLORADO STATE LICENSE |
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 |
|---|---|---|---|
| 2030 | CO | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1669728416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "784 CRYSTAL WAY",
"city": "FRUITA",
"state": "CO",
"postal_code": "815213317",
"telephone_number": "970-270-3646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 GRAND AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815013451",
"telephone_number": "970-243-3702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FURR",
"first_name": "KIMBERLY",
"middle_name": "EHRLICH",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-31",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "2030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "800636",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO STATE LICENSE",
"identifier": "2030",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.