Active NPI
Darcie Jean Peacock, OTR
- Occupational Therapist
- Centennial, CO
National Provider Identifier
1740303486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 227843
- Practice address
- 6091 S Quebec Street
Suite 200
Centennial, CO 80111-4521 - Phone
- (303) 504-9945
- Fax
- (303) 504-9946
- NPI assigned
- Apr 9, 2007
- Last updated
- Oct 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 227843 | CO | Primary |
Addresses
Primary practice location
6091 S Quebec Street
Suite 200
Centennial, CO 80111-4521
Mailing address
4500 E Cherry Creek South Dr Ste 710
Denver, CO 80246-1534
Phone (303) 432-8487
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 649046 | Other | CO | ANTHEM |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 227843 | CO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solace Pediatric Healthcare Therapy Services Idaho, LLC | Current | Accepting new patients | |
| Solace Pediatric Healthcare Therapy Services Az, Inc. | Occupational Therapist | Current | Accepting new patients |
Locations
4500 E Cherry Creek South Dr
Ste 710
Glendale, CO 80246
Phone 3034328487409
Organizations & group practices 2
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.
-
dba Care Options For Kids
- Physical Therapist
- Tempe, AZ
- NPI 1669533105
Occupational Therapist
-
dba Care Options for Kids
- Home Health Agency
- Meridian, ID
- NPI 1578337622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539734400000",
"number": "1740303486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 E CHERRY CREEK SOUTH DR STE 710",
"city": "DENVER",
"state": "CO",
"postal_code": "802461534",
"telephone_number": "303-432-8487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6091 S QUEBEC STREET",
"address_2": "SUITE 200",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801114521",
"telephone_number": "303-504-9945",
"fax_number": "303-504-9946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEACOCK",
"first_name": "DARCIE",
"middle_name": "JEAN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2018-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "227843",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "649046",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.