Individual provider Active NPI

Jennifer Fyhrie, OTR/L

  • Occupational Therapist
  • Loveland, CO
National Provider Identifier
1780457523
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0008226 Issued in CO
Practice address
4320 Georgetown Dr
Loveland, CO 80538-6847
Phone
(970) 204-4331
NPI assigned
Nov 2, 2023
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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 0008226 CO Primary

Addresses

Primary practice location

4320 Georgetown Dr
Loveland, CO 80538-6847

Mailing address

2724 Dixon Creek LN
Fort Collins, CO 80526-6258
Phone (970) 214-5706

Other practice location 1

5055 S. Lemay
Fort Collins, CO 80525
Phone (970) 223-3552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231130000266 CO Practitioner - Occupational Therapist in Private Practice 0244688323 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covell Care and Rehabilitation LLCGroup PAC ID 9335223429, 60 clinicians

Practice addresses (Care Compare)

Windsor, CO 80550
Phone (970) 204-4331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0008226COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Covell Care and Rehabilitation, LLC CurrentSince Nov 2, 2023 Accepting new patients
Legacy Healthcare Services Inc. Occupational Therapist CurrentSince Nov 13, 2023 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Nov 13, 2023 Accepting new patients
On Site Dermatology of Colorado PLLC PastSince Nov 5, 2023 Accepting new patients

Locations

5055 S Lemay Ave
Fort Collins, CO 80525
Phone (970) 223-0880

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1780457523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 DIXON CREEK LN",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266258",
            "telephone_number": "970-214-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 GEORGETOWN DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805386847",
            "telephone_number": "970-204-4331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5055 S. Lemay",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "80525",
            "country_code": "US",
            "telephone_number": "970-223-3552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FYHRIE",
        "first_name": "JENNIFER",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "0008226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.