Individual provider Active NPI

Kimberly A Cassidy, OTR/L

  • Occupational Therapy Assistant
  • Northglenn, CO
National Provider Identifier
1730720061
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA.0000725 Issued in CO
Practice address
10701 Melody Dr Ste 100
Northglenn, CO 80234-4123
Phone
(720) 872-6472
NPI assigned
Oct 8, 2019
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA.0000725 CO Primary
Occupational Therapist 225X00000X OT.0009506 CO

Addresses

Primary practice location

10701 Melody Dr Ste 100
Northglenn, CO 80234-4123

Mailing address

7423 Singing Hills CT
Boulder, CO 80301-3765
Phone (908) 902-7118

Other practice location 1

5485 Conestoga Ct Ste 100
Boulder, CO 80301-2752
Phone (720) 837-1157

Other practice location 2

11968 Mineral Rd
Longmont, CO 80504-8402
Phone (303) 652-9131

Other practice location 3

7423 Singing Hills Ct
Boulder, CO 80301-3765
Phone (908) 902-7118

Other identifiers 2

IdentifierTypeStateIssuer
OT.0009506OtherCODORA
OTA.0000725OtherCOLICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL kim@childrenstherapyco.com
CONNECT URL kimber.cassidy@gmail.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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OTA.0000725COMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Therapy Services of Colorado, Inc. PastSince Oct 13, 2019 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1730720061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7423 SINGING HILLS CT",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013765",
            "telephone_number": "908-902-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 MELODY DR STE 100",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344123",
            "telephone_number": "720-872-6472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5485 Conestoga Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803012752",
            "country_code": "US",
            "telephone_number": "720-837-1157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11968 Mineral Rd",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805048402",
            "country_code": "US",
            "telephone_number": "303-652-9131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7423 Singing Hills Ct",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803013765",
            "country_code": "US",
            "telephone_number": "908-902-7118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "OTA.0000725",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0009506",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA",
            "identifier": "OT.0009506",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OTA.0000725",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kim@childrenstherapyco.com",
            "affiliation": "N",
            "address_1": "11160 Huron St Ste 200",
            "city": "Northglenn",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802343335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kimber.cassidy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7423 Singing Hills Ct",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803013765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.