Individual provider Active NPI

Rebecca Delametter, OTD, OTR/L

  • Occupational Therapist
  • Colorado SPGS, CO
National Provider Identifier
1972082048
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0004631 Issued in CO
Practice address
6985 Tutt Blvd Ste 100
Colorado SPGS, CO 80923-3588
Phone
(171) 933-2468
NPI assigned
Aug 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0004631 CO Primary

Addresses

Primary practice location

6985 Tutt Blvd Ste 100
Colorado SPGS, CO 80923-3588

Mailing address

6985 Tutt Blvd Ste 100
Colorado SPGS, CO 80923-3588
Phone (171) 933-2468

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
0004631COMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1972082048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6985 TUTT BLVD STE 100",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809233588",
            "telephone_number": "171-933-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6985 TUTT BLVD STE 100",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809233588",
            "telephone_number": "171-933-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAMETTER",
        "first_name": "REBECCA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "0004631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado SPGS, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.