NPIMap

Organization Active NPI

Pikes Peak Occupational Therapy, Inc.

  • Pediatric Occupational Therapist
  • Colorado Springs, CO
National Provider Identifier
1972776565
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT-1850 Issued in CO
Legal business name
PIKES PEAK OCCUPATIONAL THERAPY, INC.
Practice address
7100 Ross Dr
Colorado Springs, CO 80920-3311
Phone
(719) 339-7673
Fax
(719) 265-3029
NPI assigned
Apr 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Authorized official

Name
Adrienne Ann Maxey, OTR/LNPI 1447597711
Title
Occupational Therapist
Phone
(719) 339-7673

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 996830 CO
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X OT-1850 CO Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

7100 Ross Dr
Colorado Springs, CO 80920-3311

Mailing address

7100 Ross Dr
Colorado Springs, CO 80920-3311
Phone (719) 339-7673

Other identifiers 2

IdentifierTypeStateIssuer
996830OtherCOLICENSE
05509556MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Pikes Peak Occupational Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1972776565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 ROSS DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203311",
            "telephone_number": "719-339-7673",
            "fax_number": "719-265-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 ROSS DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203311",
            "telephone_number": "719-339-7673",
            "fax_number": "719-265-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKES PEAK OCCUPATIONAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "MAXEY",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "719-339-7673",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CO",
            "license": "996830",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CO",
            "license": "OT-1850",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "996830",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05509556",
            "state": "CO"
        }
    ],
    "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 Mar 26, 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.