Active NPI
Mary Zukowski
- Occupational Therapy Assistant
- Parker, CO
National Provider Identifier
1790127686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 311753
- Practice address
- 10816 Summerset Way
Parker, CO 80138-3813 - Phone
- (303) 933-3190
- NPI assigned
- Jul 22, 2013
- Sex
- Female
- 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 Therapy Assistant | 224Z00000X | 311753 | CO | Primary |
Addresses
Primary practice location
10816 Summerset Way
Parker, CO 80138-3813
Mailing address
10816 Summerset Way
Parker, CO 80138-3813
Phone (303) 933-3190
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 |
|---|---|---|---|
| 311753 | CO | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443398400000",
"number": "1790127686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10816 SUMMERSET WAY",
"city": "PARKER",
"state": "CO",
"postal_code": "801383813",
"telephone_number": "303-933-3190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10816 SUMMERSET WAY",
"city": "PARKER",
"state": "CO",
"postal_code": "801383813",
"telephone_number": "303-933-3190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUKOWSKI",
"first_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-22",
"last_updated": "2015-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CO",
"license": "311753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.