NPIMap

Individual provider Active NPI

Benjamin Andrew Mooney, OTR/L

  • Human Factors Occupational Therapist
  • Centennial, CO
National Provider Identifier
1962755942
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Human Factors Occupational TherapistTaxonomy code 225XH1300X
License
1955 Issued in CO
Practice address
4454 E Maplewood Way
Centennial, CO 80121-3323
Phone
(720) 215-0013
NPI assigned
Oct 16, 2012
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Human Factors Occupational Therapist 225XH1300X 1955 CO Primary
Neurorehabilitation Occupational Therapist 225XN1300X 1955 CO
Pediatric Occupational Therapist 225XP0200X 1955 CO
Driving and Community Mobility Occupational Therapist 225XR0403X 1955 CO
Gerontology Occupational Therapist 225XG0600X 1955 CO
Physical Rehabilitation Occupational Therapist 225XP0019X 1955 CO
Environmental Modification Occupational Therapist 225XE0001X 1955 CO

Addresses

Primary practice location

4454 E Maplewood Way
Centennial, CO 80121-3323

Mailing address

4454 E Maplewood Way
Centennial, CO 80121-3323
Phone (720) 215-0013

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1955COMDPsychologist

Organizations & group practices 1

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": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1962755942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4454 E MAPLEWOOD WAY",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801213323",
            "telephone_number": "720-215-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4454 E MAPLEWOOD WAY",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801213323",
            "telephone_number": "720-215-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "BENJAMIN",
        "middle_name": "ANDREW",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-16",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Human Factors",
            "state": "CO",
            "license": "1955",
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "CO",
            "license": "1955",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CO",
            "license": "1955",
            "primary": false
        },
        {
            "code": "225XR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": "CO",
            "license": "1955",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "CO",
            "license": "1955",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "CO",
            "license": "1955",
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "CO",
            "license": "1955",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.