This Village Developmental Therapies

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Legal business name

THIS VILLAGE DEVELOPMENTAL THERAPIES

Practice address

719 S University Blvd
Denver, CO 80209-4722

Phone

(720) 551-9820

Fax

(720) 464-5908

NPI assigned

Aug 25, 2020

Organization subpart

No

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

Authorized official

Name

Raewyn M Kroger, OTR/L

Title

Director, OT

Phone

(720) 412-2414

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1801409495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 S UNIVERSITY BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802094722",
            "telephone_number": "720-551-9820",
            "fax_number": "720-464-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 S UNIVERSITY BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802094722",
            "telephone_number": "720-551-9820",
            "fax_number": "720-464-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIS VILLAGE DEVELOPMENTAL THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "KROGER",
        "authorized_official_first_name": "RAEWYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR, OT",
        "authorized_official_telephone_number": "720-412-2414",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.