Individual provider Active NPI

Ana Antonetti, OTR/L

  • Occupational Therapist
  • Lafayette, CO
National Provider Identifier
1972999886
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0004243 Issued in CO
Practice address
1300 Plaza CT N
Lafayette, CO 80026-3530
Phone
(720) 805-8774
NPI assigned
Apr 8, 2015
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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 OT.0004243 CO Primary
Pediatric Occupational Therapist 225XP0200X OT.0004243 CO

Addresses

Primary practice location

1300 Plaza CT N
Lafayette, CO 80026-3530

Mailing address

5375 Gunbarrel Cir
Longmont, CO 80503-8603
Phone (847) 754-7363

Other identifiers 1

IdentifierTypeStateIssuer
9000181168MedicaidCO

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
OT.0004243COMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Acorn to Oak Occupational Therapy, LLC Pediatrics CurrentSince Feb 26, 2023 Accepting new patients
Acorn to Oak Occupational Therapy, LLC Pediatrics CurrentSince Aug 10, 2025 Accepting new patients

Locations

1300 Plaza Ct N
Lafayette, CO 80026
Phone (720) 805-8774

1300 Plaza Ct N
Ste 200
Lafayette, CO 80026
Phone (720) 805-8774

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1972999886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5375 GUNBARREL CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805038603",
            "telephone_number": "847-754-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 PLAZA CT N",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263530",
            "telephone_number": "720-805-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONETTI",
        "first_name": "ANA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0004243",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CO",
            "license": "OT.0004243",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000181168",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.