NPIMap

Organization Active NPI

Shari Landry OT

  • Pediatric Occupational Therapist
  • Boulder, CO
National Provider Identifier
1801447115
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
SHARI LANDRY OT
Practice address
1475 Folsom St Apt 3003
Boulder, CO 80302-6845
Phone
(203) 641-0492
NPI assigned
Sep 27, 2019
Last updated
Sep 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Authorized official

Name
Shari Lyn Landry, MSOT, OTR/LNPI 1033775135
Title
Sole Owner
Phone
(203) 641-0492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

1475 Folsom St Apt 3003
Boulder, CO 80302-6845

Mailing address

1475 Folsom St Apt 3003
Boulder, CO 80302-6845
Phone (203) 641-0492

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1801447115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 FOLSOM ST APT 3003",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026845",
            "telephone_number": "203-641-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 FOLSOM ST APT 3003",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026845",
            "telephone_number": "203-641-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARI LANDRY OT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "203-641-0492",
        "authorized_official_credential": "MSOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.