NPIMap

Individual provider Active NPI

Kathleen Den, OT

  • Occupational Therapist
  • Grand Junction, CO
National Provider Identifier
1922689074
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0001272 Issued in CO
Practice address
2530 Foresight Cir E
Grand Junction, CO 81505-1011
Phone
(970) 628-5589
Fax
(970) 623-7107
NPI assigned
Apr 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OT.0001272 CO Primary

Addresses

Primary practice location

2530 Foresight Cir E
Grand Junction, CO 81505-1011

Mailing address

2530 Foresight Cir E
Grand Junction, CO 81505-1011
Phone (970) 628-5589

Other identifiers 1

IdentifierTypeStateIssuer
OT.0001272OtherCOCO LICENSE

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL Fax
Other URL Fax
Other URL Fax

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

LicenseStateTypeSpecialty
OT.0001272COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stars Clinic Single Specialty CurrentSince Apr 25, 2021 Accepting new patients
Individual Matters LLC Single Specialty CurrentSince Apr 25, 2021 Accepting new patients

Locations

2530 Foresight Cir E
Grand Junction, CO 81505
Phone (970) 628-5589

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1922689074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 FORESIGHT CIR E",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051011",
            "telephone_number": "970-628-5589",
            "fax_number": "970-623-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 FORESIGHT CIR E",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051011",
            "telephone_number": "970-628-5589",
            "fax_number": "970-623-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEN",
        "first_name": "KATHLEEN",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0001272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO LICENSE",
            "identifier": "OT.0001272",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fax",
            "affiliation": "N",
            "address_1": "2530 Foresight Cir E",
            "city": "Grand Junction",
            "state": "CO",
            "country_code": "US",
            "postal_code": "815051011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fax",
            "affiliation": "N",
            "address_1": "2530 Foresight Cir E",
            "city": "Grand Junction",
            "state": "CO",
            "country_code": "US",
            "postal_code": "815051011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fax",
            "affiliation": "N",
            "address_1": "2530 Foresight Cir E",
            "city": "Grand Junction",
            "state": "CO",
            "country_code": "US",
            "postal_code": "815051011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.