Individual provider Active NPI

Kathleen Connolly, OT

  • Occupational Therapist
  • Colorado Springs, CO
National Provider Identifier
1982389409
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0002451 Issued in CO
Practice address
11681 Voyager Pkwy Ste 150
Colorado Springs, CO 80921-3864
Phone
(719) 344-9342
Fax
(719) 344-7571
NPI assigned
Jun 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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 OT.0002451 CO Primary

Addresses

Primary practice location

11681 Voyager Pkwy Ste 150
Colorado Springs, CO 80921-3864

Mailing address

11681 Voyager Pkwy Ste 150
Colorado Springs, CO 80921-3864
Phone (719) 344-9342

Other practice location 1

3245 International Cir Ste 200
Colorado Springs, CO 80910-3152
Phone (719) 344-9342

Other names 1

  • Cassie Connolly Other name

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.0002451COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Kids Co. PLLC CurrentSince Jun 25, 2023 Accepting new patients

Locations

3245 International Cir
Ste 200
Colorado Springs, CO 80910
Phone (719) 344-9342

11681 Voyager Pkwy
Ste 150
Colorado Springs, CO 80921
Phone (719) 344-9342

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": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1982389409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11681 VOYAGER PKWY STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213864",
            "telephone_number": "719-344-9342",
            "fax_number": "719-344-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11681 VOYAGER PKWY STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213864",
            "telephone_number": "719-344-9342",
            "fax_number": "719-344-7571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3245 International Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809103152",
            "country_code": "US",
            "telephone_number": "719-344-9342",
            "fax_number": "719-375-3531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "KATHLEEN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0002451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIE",
            "last_name": "CONNOLLY",
            "credential": "OT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 21, 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.