Active NPI
Laura Bachman-Mau, OTR
- Pediatric Occupational Therapist
- Colorado Springs, CO
National Provider Identifier
1699139907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 0004332
- Practice address
- 2790 N Academy Blvd
Suite 227
Colorado Springs, CO 80917-5337 - Phone
- (719) 425-7771
- Fax
- (719) 208-7730
- NPI assigned
- Apr 12, 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 0004332 | CO | Primary |
Addresses
Primary practice location
2790 N Academy Blvd
Suite 227
Colorado Springs, CO 80917-5337
Mailing address
2005 Aeroplaza Dr
Colorado Springs, CO 80916-4207
Phone (719) 425-7771
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225X00000X | Other | TAXONOMY | |
| OT.0004332 | Other | CO | 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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0004332 | CO | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1699139907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 AEROPLAZA DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809164207",
"telephone_number": "719-425-7771",
"fax_number": "719-208-7730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2790 N ACADEMY BLVD",
"address_2": "SUITE 227",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809175337",
"telephone_number": "719-425-7771",
"fax_number": "719-208-7730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHMAN-MAU",
"first_name": "LAURA",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-12",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CO",
"license": "0004332",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY",
"identifier": "225X00000X",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "OT.0004332",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.