NPIMap

Organization Active NPI

Square Peg Therapies, LLC

  • Home Health Agency
  • Parker, CO
National Provider Identifier
1952070179
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SQUARE PEG THERAPIES, LLC
Practice address
19501 E Mainstreet Ste 200
Parker, CO 80138-7408
Phone
(303) 589-7458
NPI assigned
Sep 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Kelly Holgate, OTRNPI 1972802874
Title
Occupational Therapist/Owner
Phone
(303) 589-7458

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
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

19501 E Mainstreet Ste 200
Parker, CO 80138-7408

Mailing address

19501 E Mainstreet Ste 200
Parker, CO 80138-7408
Phone (303) 589-7458

National Provider Directory

National Provider Directory
Tax ID family
Square Peg Therapies LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

19501 E Mainstreet
Ste 200
Parker, CO 80138
Phone (303) 479-3633

Practitioners & affiliated clinicians

Practitioners 8

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": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1952070179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19501 E MAINSTREET STE 200",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387408",
            "telephone_number": "303-589-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19501 E MAINSTREET STE 200",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387408",
            "telephone_number": "303-589-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUARE PEG THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "HOLGATE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "303-589-7458",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.