Individual provider Active NPI

Dana Marie Tolman, MS OTR

  • Pediatric Occupational Therapist
  • Englewood, CO
National Provider Identifier
1821378936
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT.0001556 Issued in CO
Practice address
8194 S Memphis Way
Englewood, CO 80112-4625
Phone
(970) 980-3797
Fax
(303) 422-5437
NPI assigned
Aug 19, 2011
Last updated
Dec 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1559 CO
Pediatric Occupational Therapist 225XP0200X OT.0001556 CO Primary

Addresses

Primary practice location

8194 S Memphis Way
Englewood, CO 80112-4625

Mailing address

8194 S Memphis Way
Englewood, CO 80112-4625
Phone (970) 980-3797

Other identifiers 1

IdentifierTypeStateIssuer
24871303MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL wpy8437pm83xx4@print.epsonconnect.com Direct

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT.0001556COMDPediatric Occupational Therapist
1559COMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1821378936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8194 S MEMPHIS WAY",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801124625",
            "telephone_number": "970-980-3797",
            "fax_number": "303-422-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8194 S MEMPHIS WAY",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801124625",
            "telephone_number": "970-980-3797",
            "fax_number": "303-422-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLMAN",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MS OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "1559",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CO",
            "license": "OT.0001556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24871303",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wpy8437pm83xx4@print.epsonconnect.com",
            "affiliation": "N",
            "endpointDescription": "secure printer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "All content type allowed",
            "address_1": "8194 S Memphis Way",
            "city": "Englewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801124625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.