Active NPI
Renee McCormick, COTA
- Occupational Therapy Assistant
- Thornton, CO
National Provider Identifier
1922479898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA.0000694
- Practice address
- 8801 Fox Dr
Suite 200
Thornton, CO 80260-6898 - Phone
- (303) 650-6002
- NPI assigned
- Oct 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | OTA.0000694 | CO | Primary |
Addresses
Primary practice location
8801 Fox Dr
Suite 200
Thornton, CO 80260-6898
Mailing address
8801 Fox Dr
Suite 200
Thornton, CO 80260-6898
Phone (303) 650-6002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 345891 | Other | CO | NBCOT CERTIFICATION NUMBER |
| OTA.0000694 | Other | CO | COTA LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA.0000694 | CO | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444953600000",
"number": "1922479898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8801 FOX DR",
"address_2": "SUITE 200",
"city": "THORNTON",
"state": "CO",
"postal_code": "802606898",
"telephone_number": "303-650-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8801 FOX DR",
"address_2": "SUITE 200",
"city": "THORNTON",
"state": "CO",
"postal_code": "802606898",
"telephone_number": "303-650-6002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMICK",
"first_name": "RENEE",
"name_prefix": "Miss",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-16",
"last_updated": "2015-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CO",
"license": "OTA.0000694",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCOT CERTIFICATION NUMBER",
"identifier": "345891",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COTA LICENSE",
"identifier": "OTA.0000694",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.