Individual provider Active NPI

Marilyn Reich, MOT, OTR/L

  • Occupational Therapist
  • Centennial, CO
National Provider Identifier
1760842256
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0005984 Issued in CO
Practice address
6851 S Holly Cir Ste 290
Centennial, CO 80112
Phone
(720) 542-8737
Fax
(720) 242-8085
NPI assigned
Feb 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.0005984 CO Primary

Addresses

Primary practice location

6851 S Holly Cir Ste 290
Centennial, CO 80112

Mailing address

6851 S Holly Cir Ste 290
Centennial, CO 80112-1076
Phone (720) 542-8737

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
OT.0005984COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Speech Therapy Associates CurrentSince Dec 6, 2020 Accepting new patients
Jumpstart, LLC PastSince Apr 1, 2021 Accepting new patients
Pediatric Speech Therapy Associates PastSince Mar 9, 2020 Accepting new patients
Jumpstart, LLC PastSince Aug 25, 2024 Accepting new patients

Locations

6851 S Holly Cir
Ste 290
Centennial, CO 80112
Phone (205) 428-7377

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1760842256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 S HOLLY CIR STE 290",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121076",
            "telephone_number": "720-542-8737",
            "fax_number": "720-242-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 S HOLLY CIR STE 290",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "80112",
            "telephone_number": "720-542-8737",
            "fax_number": "720-242-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICH",
        "first_name": "MARILYN",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0005984",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 6, 2020; 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.