Active NPI
Kelsey Etchison, MS, OTR/L
- Occupational Therapist
- Lakewood, CO
National Provider Identifier
1902663131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3289
- Practice address
- 12900 W Utah Ave
Lakewood, CO 80228-4223 - Phone
- (303) 982-9561
- NPI assigned
- Mar 4, 2024
- 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 | 3289 | CO | Primary |
Addresses
Primary practice location
12900 W Utah Ave
Lakewood, CO 80228-4223
Mailing address
1829 Denver West Dr # 27
Golden, CO 80401-3120
Phone (303) 982-6500
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3289 | CO | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1902663131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1829 DENVER WEST DR # 27",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804013120",
"telephone_number": "303-982-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12900 W UTAH AVE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802284223",
"telephone_number": "303-982-9561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETCHISON",
"first_name": "KELSEY",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-04",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "3289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.