Active NPI
Maureen Maria Tanner-Wray
- Occupational Therapy Assistant
- Denver, CO
National Provider Identifier
1699123091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 15022
- Practice address
- 700 Colorado Blvd
Denver, CO 80206-4084 - Phone
- (303) 909-6700
- Fax
- (720) 458-0885
- NPI assigned
- May 26, 2016
- 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 Therapy Assistant | 224Z00000X | 15022 | FL | Primary |
Addresses
Primary practice location
700 Colorado Blvd
Denver, CO 80206-4084
Mailing address
460 NE 169TH St
North Miami Beach, FL 33162-3978
Phone (786) 657-6308
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 |
|---|---|---|---|
| 15022 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464220800000",
"number": "1699123091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 NE 169TH ST",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331623978",
"telephone_number": "786-657-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 COLORADO BLVD",
"city": "DENVER",
"state": "CO",
"postal_code": "802064084",
"telephone_number": "303-909-6700",
"fax_number": "720-458-0885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER-WRAY",
"first_name": "MAUREEN",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-26",
"last_updated": "2016-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "15022",
"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 May 26, 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.