Jason Drew Staples, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-3117 Issued in CO

Practice address

6155 Fountain Valley School Rd.
Colorado Springs, CO 80911-2251

Phone

(817) 992-1495

NPI assigned

Oct 3, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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.

• Homefit Therapy Colorado LLC

  • Occupational Therapist
  • Colorado Springs, CO
  • NPI 1710643044
  Medicare reassignment NPD Authorized official
• Colorado Therapy and Home Modificiations

  • Occupational Therapist
  • Colorado Springs, CO
  • NPI 1164008496
  Medicare reassignment NPD

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1871877332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6155 FOUNTAIN VALLEY SCHOOL RD.",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809112251",
            "telephone_number": "817-992-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 FOUNTAIN VALLEY SCHOOL RD.",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809112251",
            "telephone_number": "817-992-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLES",
        "first_name": "JASON",
        "middle_name": "DREW",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-03",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "CO",
            "license": "OT.0003117",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT-3117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Stanton, D.O.
• Anthony A Stanulonis, MD
• Olivia Stanzer, PT, DPT
• Kade Stanzilis, LPCC
• Ashlie Deserai Staples
• Shauntee Staples
• Star Dental Institute Inc
• David Allen Stark, MD
• Marie Elizabeth Stark, SWC
• Anna Elizabeth Starkey

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.