Active NPI
Rising From Ashes Occupational Therapy LLC
- Clinic/Center
- Englewood, CO
National Provider Identifier
1730699430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.