NPIMap

Organization Active NPI

Light Filled Life Occupational Therapy

  • Clinic/Center
  • Fort Collins, CO
National Provider Identifier
1982367884
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LIGHT FILLED LIFE OCCUPATIONAL THERAPY
Practice address
1020 Luke St Ste C
Fort Collins, CO 80524-4067
Phone
(970) 658-0221
NPI assigned
Oct 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Erika Osmann Mason, OTR/LNPI 1871061689
Title
Owner
Phone
(970) 222-9058

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1020 Luke St Ste C
Fort Collins, CO 80524-4067

Mailing address

2128 Liberty Dr
Fort Collins, CO 80521-1349
Phone (970) 222-9058

National Provider Directory

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": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1982367884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 LIBERTY DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805211349",
            "telephone_number": "970-222-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 LUKE ST STE C",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244067",
            "telephone_number": "970-658-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT FILLED LIFE OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "OSMANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-222-9058",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Oct 18, 2021; 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.