Individual provider Active NPI

Katie Marie Espino-Kennedy, COTA/L

  • Occupational Therapy Assistant
  • Greenwood Village, CO
National Provider Identifier
1669831251
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA.0000726 Issued in CO
Practice address
8301 E Prentice Ave
Suite 207
Greenwood Village, CO 80111-2903
Phone
(720) 244-3707
NPI assigned
Feb 11, 2016
Last updated
Feb 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA.0000726 CO Primary

Addresses

Primary practice location

8301 E Prentice Ave
Suite 207
Greenwood Village, CO 80111-2903

Mailing address

3580 E 100TH CT
Thornton, CO 80229-3548
Phone (720) 244-3707

Other names 1

  • Katie Marie Espino Other name

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

LicenseStateTypeSpecialty
OTA.0000726COMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Tree Occupational Therapy, LLC PastSince Oct 20, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1669831251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 E 100TH CT",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802293548",
            "telephone_number": "720-244-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 E PRENTICE AVE",
            "address_2": "SUITE 207",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112903",
            "telephone_number": "720-244-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINO-KENNEDY",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "OTA.0000726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "ESPINO",
            "middle_name": "MARIE",
            "credential": "COTA/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.