Individual provider Active NPI

Macie Bicandi

  • Occupational Therapist
  • Windsor, CO
National Provider Identifier
1942004551
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0008814 Issued in CO
Practice address
4650 Royal Vista Cir Ste 100
Windsor, CO 80528-9321
Phone
(970) 305-5070
NPI assigned
Apr 2, 2025
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.0008814 CO Primary

Addresses

Primary practice location

4650 Royal Vista Cir Ste 100
Windsor, CO 80528-9321

Mailing address

4650 Royal Vista Cir Ste 100
Windsor, CO 80528-9321
Phone (970) 305-5070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251218000460 CO Practitioner - Occupational Therapist in Private Practice 3375038243

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11720 N County Rd
Suite 17
Fort Collins, CO 80524-8788

4650 Royal Vista Cir
Suite 100
Windsor, CO 80528-9010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT.0008814COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Noco Pediatric OT, LLC Occupational Therapist CurrentSince Dec 31, 2025 Accepting new patients
Noco Pediatric OT, LLC Occupational Therapist CurrentSince Dec 31, 2025 Accepting new patients
Noco Pediatric OT, LLC Occupational Therapist Past Accepting new patients

Locations

1931 65th Ave
Ste C
Greeley, CO 80634
Phone (970) 352-1877

4650 Royal Vista Cir
Ste 100
Windsor, CO 80528
Phone (970) 305-5070

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1942004551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 ROYAL VISTA CIR STE 100",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805289321",
            "telephone_number": "970-305-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 ROYAL VISTA CIR STE 100",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805289321",
            "telephone_number": "970-305-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICANDI",
        "first_name": "MACIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0008814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.