Individual provider Active NPI

Mubaraka Attarwala

  • Occupational Therapist
  • Colorado Springs, CO
National Provider Identifier
1972093292
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0007833 Issued in CO
Practice address
2365 Patriot HTS
Colorado Springs, CO 80904-5122
Phone
(719) 667-5360
NPI assigned
May 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Occupational Therapist 225X00000X 0007833 CO Primary

Addresses

Primary practice location

2365 Patriot HTS
Colorado Springs, CO 80904-5122

Mailing address

6756 Granite Peak Dr
Colorado Springs, CO 80923-5196
Phone (213) 822-4761

Other practice location 1

703 E Buffalo St
Polo, IL 61064-1701
Phone (815) 946-2203

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0007833COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adventure Learning Behavioral Interventions Occupational Therapist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1972093292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6756 GRANITE PEAK DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809235196",
            "telephone_number": "213-822-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 PATRIOT HTS",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809045122",
            "telephone_number": "719-667-5360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 E Buffalo St",
            "address_purpose": "LOCATION",
            "city": "Polo",
            "state": "IL",
            "postal_code": "610641701",
            "country_code": "US",
            "telephone_number": "815-946-2203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATTARWALA",
        "first_name": "MUBARAKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "0007833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.