Individual provider Active NPI

Amanda Elizabeth Blossfeld, OTR/L

  • Occupational Therapist
  • Arvada, CO
National Provider Identifier
1720790645
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0005295 Issued in CO
Practice address
8020 Lee Dr
Arvada, CO 80005-2078
Phone
(303) 422-1755
Fax
(303) 422-3713
NPI assigned
Dec 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.0005295 CO Primary

Addresses

Primary practice location

8020 Lee Dr
Arvada, CO 80005-2078

Mailing address

13352 W 65TH PL
Arvada, CO 80004-2192
Phone (248) 703-1805

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@mountainstatestherapy.com Direct

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

LicenseStateTypeSpecialty
OT.0005295COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Colorado Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ablossfeld285601@direct.childrenscolorado.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1720790645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13352 W 65TH PL",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800042192",
            "telephone_number": "248-703-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 LEE DR",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800052078",
            "telephone_number": "303-422-1755",
            "fax_number": "303-422-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOSSFELD",
        "first_name": "AMANDA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0005295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@mountainstatestherapy.com",
            "affiliation": "N",
            "endpointDescription": "a place to submit patient forms",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8020 Lee Dr",
            "city": "Arvada",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800052078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.