Individual provider Active NPI

Bethany Yarolin, COTA/L

  • Occupational Therapy Assistant
  • Northglenn, CO
National Provider Identifier
1942830070
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA.0001018 Issued in CO
Practice address
11154 Huron St Ste 101
Northglenn, CO 80234-2329
Phone
(720) 381-0624
Fax
(303) 562-2415
NPI assigned
Jan 16, 2020
Last updated
Jan 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA.0001018 CO Primary

Addresses

Primary practice location

11154 Huron St Ste 101
Northglenn, CO 80234-2329

Mailing address

11154 Huron St Ste 101
Northglenn, CO 80234-2329
Phone (720) 381-0624

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
OTA.0001018COMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1942830070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11154 HURON ST STE 101",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802342329",
            "telephone_number": "720-381-0624",
            "fax_number": "303-562-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11154 HURON ST STE 101",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802342329",
            "telephone_number": "720-381-0624",
            "fax_number": "303-562-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAROLIN",
        "first_name": "BETHANY",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "OTA.0001018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.