NPIMap

Organization Active NPI

Early Intervention Professionals, LLC

  • Developmental Disabilities Clinic/Center
  • Sterling, CO
National Provider Identifier
1710616743
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
EARLY INTERVENTION PROFESSIONALS, LLC
Practice address
22811 County Road 36
Sterling, CO 80751-9207
Phone
(970) 520-3625
NPI assigned
Jun 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Michelle Kaiser, MA, OTRNPI 1356452536
Title
Owner
Phone
(970) 520-3625

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary
Hearing and Speech Clinic/Center 261QH0700X
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

22811 County Road 36
Sterling, CO 80751-9207

Mailing address

22811 County Road 36
Sterling, CO 80751-9207
Phone (970) 520-3625

Other identifiers 2

IdentifierTypeStateIssuer
1932494184MedicaidCO
1356452536MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkaiser@ecsdd.org Eastern Colorado Services for the DD

National Provider Directory

National Provider Directory

Locations

617 S 10th Ave
Sterling, CO 80751

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1710616743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22811 COUNTY ROAD 36",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807519207",
            "telephone_number": "970-520-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22811 COUNTY ROAD 36",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807519207",
            "telephone_number": "970-520-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY INTERVENTION PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-520-3625",
        "authorized_official_credential": "MA, OTR"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932494184",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356452536",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkaiser@ecsdd.org",
            "affiliation": "Y",
            "affiliationName": "Eastern Colorado Services for the DD",
            "address_1": "617 S 10th Ave",
            "city": "Sterling",
            "state": "CO",
            "country_code": "US",
            "postal_code": "807513426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sterling, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.

Verify at the official NPI Registry.