Active NPI
Advance Therapy, Inc.
- Pediatric Occupational Therapist
- Fort Collins, CO
National Provider Identifier
1962819367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- 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, OTR
- 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.
-
- Pediatric Occupational Therapist
- Fort Collins, CO
- NPI 1669888137
Pediatrics
National Provider Directory
National Provider DirectoryLocations
1125 W Drake Rd
Ste B8
Fort Collins, CO 80526
Phone (970) 215-9693
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.