Individual provider Active NPI

Constance Blahnik Mullans, OTR/L

  • Occupational Therapist
  • Castle Rock, CO
National Provider Identifier
1821316167
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1438 Issued in CO
Practice address
992 Oakwood Dr
Castle Rock, CO 80104-1633
Phone
(303) 663-8048
Fax
(303) 663-8048
NPI assigned
May 11, 2010
Last updated
May 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2010

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 1438 CO Primary

Addresses

Primary practice location

992 Oakwood Dr
Castle Rock, CO 80104-1633

Mailing address

992 Oakwood Dr
Castle Rock, CO 80104-1633
Phone (303) 663-8048

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

LicenseStateTypeSpecialty
1438COMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1821316167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 OAKWOOD DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041633",
            "telephone_number": "303-663-8048",
            "fax_number": "303-663-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 OAKWOOD DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041633",
            "telephone_number": "303-663-8048",
            "fax_number": "303-663-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLANS",
        "first_name": "CONSTANCE",
        "middle_name": "BLAHNIK",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "1438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.