Individual provider Active NPI

Amy Miles Hartman

  • Occupational Therapist
  • Superior, CO
National Provider Identifier
1942582127
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3141 Issued in CO
Practice address
2600 S Rock Creek Pkwy
#36-202
Superior, CO 80027-4498
Phone
(614) 989-6303
Fax
(614) 989-6303
NPI assigned
Sep 14, 2011
Last updated
Sep 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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 3141 CO Primary

Addresses

Primary practice location

2600 S Rock Creek Pkwy
#36-202
Superior, CO 80027-4498

Mailing address

2900 S University Blvd
Denver, CO 80210-6029
Phone (303) 773-1034

Other names 1

  • Amy Miles Gore Former name

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
3141COMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1942582127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S UNIVERSITY BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802106029",
            "telephone_number": "303-773-1034",
            "fax_number": "303-773-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S ROCK CREEK PKWY",
            "address_2": "#36-202",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800274498",
            "telephone_number": "614-989-6303",
            "fax_number": "614-989-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "AMY",
        "middle_name": "MILES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "3141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "GORE",
            "middle_name": "MILES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Superior, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.