Positive Impact Fort Collins, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0000734 Issued in CO

Legal business name

POSITIVE IMPACT FORT COLLINS, LLC

Practice address

7551 Triangle Dr
Fort Collins, CO 80525-8280

Phone

(970) 223-1715

NPI assigned

Aug 20, 2015

Organization subpart

No

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

Authorized official

Name

Mandy Smith, OTR/L

Title

Occupational Therapist

Phone

(970) 223-1715

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1881060192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7551 TRIANGLE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805258280",
            "telephone_number": "970-223-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7551 TRIANGLE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805258280",
            "telephone_number": "970-223-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE IMPACT FORT COLLINS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "970-223-1715",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0000734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Porter
• Sara Penrod Porter, RN
• Luis Andres Posada, MD
• Peter Lewis Poses, PH.D., LMFT
• Russell Gordon Posey, DDS,MPH
• Lawanda Kaye Poss, CRNA
• Jennifer Poste, RN
• Victoria Postiglione, OTR/L
• Spencer Poston
• Steven C Pote

• Occupational Therapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.