Developmental Wellness, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0005264 Issued in CO

Legal business name

DEVELOPMENTAL WELLNESS, LLC

Practice address

305 W Magnolia St
PMB 321
Fort Collins, CO 80521-2804

Phone

(314) 488-4288

NPI assigned

Feb 6, 2018

Last updated

Feb 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abigail Newby, OTR/LNPI 1306353917

Title

Owner

Phone

(314) 488-4288

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abigail Newby, OTR/L

  • Occupational Therapist
  • Fort Collins, CO
  • NPI 1306353917
  Authorized official Same address or phone

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517875200000",
    "number": "1790284768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W MAGNOLIA ST",
            "address_2": "PMB 321",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W MAGNOLIA ST",
            "address_2": "PMB 321",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212804",
            "telephone_number": "314-488-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A",
        "authorized_official_last_name": "NEWBY",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-488-4288",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0005264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari L Detterer, F.N.P.-C.
• Corinne Deuel-Gentile, D.C.
• Sheri Ann Deuto, FNP
• Alyssa Deutscher
• Erika Leigh Deutscher, PHARM D
• Zachary Devilbiss, DO
• Terin Devoto Noonan
• Deyoung Family Medicine LLC
• Douglas Bruce Deyoung, DO
• Mark Edward Deysher, MPT, OCS

• Occupational Therapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.