Active NPI
Matison Divita, OT
- Occupational Therapist
- Aurora, CO
National Provider Identifier
1861048779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.0006061
- Practice address
- 14055 E Quincy Ave
Aurora, CO 80015-1146 - Phone
- (303) 680-4729
- NPI assigned
- Aug 15, 2019
- 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.0006061 | CO | Primary |
Addresses
Primary practice location
14055 E Quincy Ave
Aurora, CO 80015-1146
Mailing address
6152 S Crestview St
Littleton, CO 80120-2843
Other practice location 1
18900 E Mainstreet
Parker, CO 80134-3493
Phone (720) 728-0601
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1861048779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6152 S CRESTVIEW ST",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801202843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14055 E QUINCY AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800151146",
"telephone_number": "303-680-4729"
}
],
"practiceLocations": [
{
"address_1": "18900 E Mainstreet",
"address_purpose": "LOCATION",
"city": "Parker",
"state": "CO",
"postal_code": "801343493",
"country_code": "US",
"telephone_number": "720-728-0601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIVITA",
"first_name": "MATISON",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-15",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT.0006061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.