Active NPI
Cindy N Iida, MS, OT
- Pediatric Occupational Therapist
- Castle Rock, CO
National Provider Identifier
1679705206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 1202
- Practice address
- 4953 Shadow Ridge Rd
Castle Rock, CO 80109-8620 - Phone
- (303) 809-2251
- NPI assigned
- Aug 15, 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 1202 | CO | Primary |
Addresses
Primary practice location
4953 Shadow Ridge Rd
Castle Rock, CO 80109-8620
Mailing address
4953 Shadow Ridge Rd
Castle Rock, CO 80109-8620
Phone (303) 809-2251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64750582 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1202 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1679705206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4953 SHADOW RIDGE RD",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801098620",
"telephone_number": "303-809-2251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4953 SHADOW RIDGE RD",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801098620",
"telephone_number": "303-809-2251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IIDA",
"first_name": "CINDY",
"middle_name": "N",
"name_prefix": "Ms.",
"credential": "MS, OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-15",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CO",
"license": "1202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64750582",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.