Active NPI
Mary Elizabeth Odrzywolski, OTR/L
- Occupational Therapist
- Longmont, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.0000835
- Practice address
- 1380 Tulip St
Longmont, CO 80501-3157 - Phone
- (303) 485-4163
- Fax
- (303) 485-4164
- NPI assigned
- Oct 21, 2020
- Last updated
- Oct 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT.0000835 | CO | Primary |
Addresses
Primary practice location
1380 Tulip St
Longmont, CO 80501-3157
Mailing address
PO Box 393
Berthoud, CO 80513-0393
Phone (303) 641-3084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1979
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1380 Tulip St
Longmont, CO 80501-3157
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.06 of 100
- Quality
- 89.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Past | Accepting new patients |
Locations
1 Mercado St
Ste 201
Durango, CO 81301
Phone (970) 385-0644
1380 Tulip St
Longmont, CO 80501
Phone (303) 485-4163
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mit Three Springs
- Physical Therapy Clinic/Center
- Durango, CO
- NPI 1093137796
-
dba Mit Centennial
- Physical Therapist
- Durango, CO
- NPI 1003425802
-
dba CommonSpirit Orthopedics Longmont
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
-
dba NSSH Neurosurg Sah
- Neurological Surgery Physician
- Lakewood, CO
- NPI 1205846664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1841899739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 393",
"city": "BERTHOUD",
"state": "CO",
"postal_code": "805130393",
"telephone_number": "303-641-3084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 TULIP ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013157",
"telephone_number": "303-485-4163",
"fax_number": "303-485-4164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODRZYWOLSKI",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-21",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT.0000835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
- Jane Elizabeth Obradovich, PHARMD
- Obstetrix Medical Group of Colorado, P.C.
- Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
- Martha Odegard, LCSW, LAC
- Marek A Odehnal, MD
- Christian A Ogden, LPC
- Herbert G Ogden
- Ann Manwaring Ohara, MA LPC
- Ugorji Ihuarulam Chiemeka Okorie, MD
- Olde Towne Eye Care LLC (Third Avenue Eyecare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.