Organization Active NPI

Rising From Ashes Occupational Therapy LLC

  • Clinic/Center
  • Englewood, CO
National Provider Identifier
1730699430
Registry record updated Oct 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RISING FROM ASHES OCCUPATIONAL THERAPY LLC
Practice address
770 W Hampden Ave Ste 300
Englewood, CO 80110-2199
Phone
(303) 919-0517
NPI assigned
Oct 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2017

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

Authorized official

Name
Edith L Haverland, OTR/L
Title
Sole Member/Occupational Therapist
Phone
(303) 919-0517

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

770 W Hampden Ave Ste 300
Englewood, CO 80110-2199

Mailing address

7446 E Long Cir
Centennial, CO 80112-2657
Phone (303) 919-0517

National Provider Directory

National Provider Directory

Locations

770 W Hampden Ave
Ste 300
Englewood, CO 80110
Phone (303) 919-0517

NPI Registry JSON

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

{
    "created_epoch": "1507334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507334400000",
    "number": "1730699430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7446 E LONG CIR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122657",
            "telephone_number": "303-919-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 W HAMPDEN AVE STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102199",
            "telephone_number": "303-919-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING FROM ASHES OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-07",
        "last_updated": "2017-10-07",
        "status": "A",
        "authorized_official_last_name": "HAVERLAND",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE MEMBER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "303-919-0517",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2017; 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.