Organization Active NPI

Revive Occupational Therapy LLC

  • Occupational Therapist
  • Littleton, CO
National Provider Identifier
1942923297
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
REVIVE OCCUPATIONAL THERAPY LLC
Practice address
40 W Littleton Blvd Ste 210-343
Littleton, CO 80120-2478
Phone
(720) 468-0998
NPI assigned
Sep 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Authorized official

Name
Brianne SwitzenbergNPI 1336444223
Title
Owner
Phone
(720) 468-0998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

40 W Littleton Blvd Ste 210-343
Littleton, CO 80120-2478

Mailing address

40 W Littleton Blvd Ste 210-343
Littleton, CO 80120-2478

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221104000306 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7315314333 Receives reassigned benefits from 1 practitioner
Practice locations: Littleton, CO

National Provider Directory

National Provider Directory

Locations

40 W Littleton Blvd
Ste 210343
Littleton, CO 80120
Phone (720) 468-0998

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1942923297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W LITTLETON BLVD STE 210-343",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801202478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W LITTLETON BLVD STE 210-343",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801202478",
            "telephone_number": "720-468-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "SWITZENBERG",
        "authorized_official_first_name": "BRIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-468-0998"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.