Individual provider Active NPI

Merrie Beth Golembiewski, COTA

  • Occupational Therapy Assistant
  • Lakewood, CO
National Provider Identifier
1831433424
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
303334 Issued in CO
Practice address
12791 W Alameda Pkwy
Lakewood, CO 80228-2838
Phone
(303) 988-0820
NPI assigned
Nov 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 303334 CO Primary

Addresses

Primary practice location

12791 W Alameda Pkwy
Lakewood, CO 80228-2838

Mailing address

4301 S Jason St
Englewood, CO 80110-5501
Phone (303) 957-6560

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
303334COMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1831433424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 S JASON ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801105501",
            "telephone_number": "303-957-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12791 W ALAMEDA PKWY",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282838",
            "telephone_number": "303-988-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLEMBIEWSKI",
        "first_name": "MERRIE",
        "middle_name": "BETH",
        "name_prefix": "Miss",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "303334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.