NPIMap

Organization Active NPI

Pelican Home Therapy

  • Occupational Therapist
  • Windsor, CO
National Provider Identifier
1750802138
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0004124 Issued in CO
Legal business name
PELICAN HOME THERAPY
Practice address
822 Durum St
Windsor, CO 80550-6017
Phone
(970) 301-9415
Fax
(970) 573-6585
NPI assigned
Jul 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Randia E Morrow, OTR/LNPI 1174927750
Title
Owner/Occupational Therapist
Phone
(970) 301-9415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OT.0004124 CO Primary

Addresses

Primary practice location

822 Durum St
Windsor, CO 80550-6017

Mailing address

822 Durum St
Windsor, CO 80550-6017
Phone (970) 301-9415

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750802138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 DURUM ST",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805506017",
            "telephone_number": "970-301-9415",
            "fax_number": "970-573-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 DURUM ST",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805506017",
            "telephone_number": "970-301-9415",
            "fax_number": "970-573-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN HOME THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "RANDIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "970-301-9415",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0004124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.