Active NPI
Aaron Robert Oberndorf, MS, OTR/R
- Occupational Therapist
- Laporte, CO
National Provider Identifier
1760744353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-1538
- Practice address
- 3416 Killarney CT
Laporte, CO 80535-9337 - Phone
- (970) 420-5143
- NPI assigned
- Jun 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | OT-1538 | CO | Primary |
Addresses
Primary practice location
3416 Killarney CT
Laporte, CO 80535-9337
Mailing address
3416 Killarney CT
Laporte, CO 80535-9337
Phone (970) 420-5143
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-1538 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461283200000",
"number": "1760744353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3416 KILLARNEY CT",
"city": "LAPORTE",
"state": "CO",
"postal_code": "805359337",
"telephone_number": "970-420-5143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3416 KILLARNEY CT",
"city": "LAPORTE",
"state": "CO",
"postal_code": "805359337",
"telephone_number": "970-420-5143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERNDORF",
"first_name": "AARON",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "MS, OTR/R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-11",
"last_updated": "2016-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT-1538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laporte, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.