Organization Active NPI

Advance Therapy, Inc.

  • Pediatric Occupational Therapist
  • Fort Collins, CO
National Provider Identifier
1962819367
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
ADVANCE THERAPY, INC.
Practice address
2768 Nottingham SQ
Fort Collins, CO 80526-2589
Phone
(970) 223-2923
NPI assigned
Jul 17, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Louise E Belleau, MS, OTRNPI 1669888137
Title
President
Phone
(970) 223-2923

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

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

1125 W Drake Rd
Ste B8
Fort Collins, CO 80526
Phone (970) 215-9693

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X Primary

Addresses

NPPES NPI Registry

Primary practice location

2768 Nottingham SQ
Fort Collins, CO 80526-2589

Mailing address

1125 W Drake Rd
Unit B8
Fort Collins, CO 80526-6031
Phone (970) 214-1388

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 17, 2014.

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1962819367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 W DRAKE RD",
            "address_2": "UNIT B8",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266031",
            "telephone_number": "970-214-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2768 NOTTINGHAM SQ",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262589",
            "telephone_number": "970-223-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "BELLEAU",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-223-2923",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.