Active NPI
Anika Beth Driesen, OTR/L
- Pediatric Occupational Therapist
- Castle Rock, CO
National Provider Identifier
1770360299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT.00080000
- Practice address
- 2420 Autumn Sage St
Castle Rock, CO 80108-2800 - Phone
- (720) 433-0110
- NPI assigned
- Sep 8, 2023
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT.00080000 | CO | Primary |
Addresses
Primary practice location
2420 Autumn Sage St
Castle Rock, CO 80108-2800
Mailing address
620 Wilcox St
Castle Rock, CO 80104-1730
Phone (118) 470-1351
Other practice location 1
3700 Butterfield Crossing Dr
Castle Rock, CO 80109-7906
Phone (303) 387-5425
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT.00080000 | CO | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1770360299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 WILCOX ST",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801041730",
"telephone_number": "118-470-1351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 AUTUMN SAGE ST",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801082800",
"telephone_number": "720-433-0110"
}
],
"practiceLocations": [
{
"address_1": "3700 Butterfield Crossing Dr",
"address_purpose": "LOCATION",
"city": "Castle Rock",
"state": "CO",
"postal_code": "801097906",
"country_code": "US",
"telephone_number": "303-387-5425",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRIESEN",
"first_name": "ANIKA",
"middle_name": "BETH",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-08",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CO",
"license": "OT.00080000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.