Individual provider Active NPI

Susan Margaret Dukart, OTR, CHT

  • Hand Occupational Therapist
  • Fort Collins, CO
National Provider Identifier
1841298155
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
003459 Issued in CO
Practice address
3744 S Timberline Rd
Suite 103
Fort Collins, CO 80525-4333
Phone
(970) 204-4263
Fax
(970) 204-4552
NPI assigned
Jul 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 003459 CO Primary

Addresses

Primary practice location

3744 S Timberline Rd
Suite 103
Fort Collins, CO 80525-4333

Mailing address

3744 S Timberline Rd
Suite 102
Fort Collins, CO 80525-4333
Phone (970) 227-8336

Other identifiers 1

IdentifierTypeStateIssuer
58473262MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060104001001 CO Practitioner - Occupational Therapist in Private Practice 9638192610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado in Motion LLCGroup PAC ID 9931515483, 41 clinicians

Practice addresses (Care Compare)

3744 S Timberline Rd
Suite 103
Fort Collins, CO 80525-4334
Phone (970) 221-1201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003459COMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado in Motion LLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

210 W Magnolia St
Ste 110
Fort Collins, CO 80521

3744 S Timberline Rd
Ste 103
Fort Collins, CO 80525
Phone (970) 204-4263

115 E Harmony Rd
Ste 160
Fort Collins, CO 80525
Phone (630) 881-1560

1901 56th Ave
Ste 100
Greeley, CO 80634
Phone (970) 451-5776

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1841298155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3744 S TIMBERLINE RD",
            "address_2": "SUITE 102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254333",
            "telephone_number": "970-227-8336",
            "fax_number": "970-204-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3744 S TIMBERLINE RD",
            "address_2": "SUITE 103",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254333",
            "telephone_number": "970-204-4263",
            "fax_number": "970-204-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKART",
        "first_name": "SUSAN",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "OTR, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CO",
            "license": "003459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58473262",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.