Individual provider Active NPI

Pamela Kay Kearby, OTR/L

  • Occupational Therapist
  • Greenwood Village, CO
National Provider Identifier
1780190082
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0002839 Issued in CO
Practice address
5420 S Quebec St Ste 103
Greenwood Village, CO 80111-1902
Phone
(303) 221-7827
NPI assigned
Dec 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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 0002839 CO Primary

Addresses

Primary practice location

5420 S Quebec St Ste 103
Greenwood Village, CO 80111-1902

Mailing address

5420 S Quebec St Ste 103
Greenwood Village, CO 80111-1902
Phone (303) 221-7827

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
0002839COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Star Center Foundation Occupational Therapist Past Accepting new patients

Organizations & group practices 1

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": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1780190082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 S QUEBEC ST STE 103",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111902",
            "telephone_number": "303-221-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 S QUEBEC ST STE 103",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111902",
            "telephone_number": "303-221-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARBY",
        "first_name": "PAMELA",
        "middle_name": "KAY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "0002839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.