Individual provider Active NPI

Jordan Armel Branfort

  • Occupational Therapist
  • Lakewood, CO
National Provider Identifier
1932579349
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17-03170 Issued in KS
Practice address
11185 W 6TH Ave
Lakewood, CO 80215-5538
Phone
(303) 230-6060
NPI assigned
Sep 28, 2015
Last updated
Dec 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 0004416 CO
Occupational Therapist 225X00000X 17-03170 KS Primary

Addresses

Primary practice location

11185 W 6TH Ave
Lakewood, CO 80215-5538

Mailing address

11185 W 6TH Ave
Lakewood, CO 80215-5538
Phone (303) 230-6060

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0004416COMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1932579349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11185 W 6TH AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802155538",
            "telephone_number": "303-230-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11185 W 6TH AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802155538",
            "telephone_number": "303-230-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANFORT",
        "first_name": "JORDAN",
        "middle_name": "ARMEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-28",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "CO",
            "license": "0004416",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-03170",
            "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 Dec 19, 2016; 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.