Amy Jacobs, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0007504 Issued in CO

Practice address

1850 S Hover St
Longmont, CO 80501-6982

Phone

(720) 233-5070

NPI assigned

Jul 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aspire Therapy and Wellness LLCGroup PAC ID 9032521448, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aspire Therapy and Wellness LLC

  • Physical Therapist
  • Louisville, CO
  • NPI 1700497013

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Covell Care and Rehabilitation, LLC

  • Home Health Agency
  • Windsor, CO
  • NPI 1063695351
  Medicare reassignment NPD

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1871228379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1894 WRIGHT DR",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805162588",
            "telephone_number": "720-233-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S HOVER ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016982",
            "telephone_number": "720-233-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "AMY",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0007504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John D Ives, PHARMD
• Robin Jackelow
• Stacie Jackson, PA-C
• Jacob Hall Chiropractic LLC
• Richard Jacobi, MD
• Alaina Jacobsen, OD
• Megan Joy Jaeckel, PT, DPT
• Brett Jaeger, DPT
• James E Jennings MD PC
• Karen Jamison-Durr

• Occupational Therapist in Longmont, CO
• Providers in Longmont, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.