Active NPI
Stephanie Holst
- Occupational Therapist
- Broomfield, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.0004103
- Practice address
- 500 W 144TH Ave Ste 230
Broomfield, CO 80023-9328 - Phone
- (303) 665-2603
- Fax
- (303) 665-2605
- NPI assigned
- Oct 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Physical Therapist | 2251H1200X | |||
| Occupational Therapist | 225X00000X | OT.0004103 | CO | Primary |
Addresses
Primary practice location
500 W 144TH Ave Ste 230
Broomfield, CO 80023-9328
Mailing address
514 Deer Run LN
Papillion, NE 68046-4331
Phone (402) 547-0790
Other practice location 1
514 Deer Run Ln
Papillion, NE 68046-4331
Phone (402) 547-0790
Other practice location 2
3455 N Lutheran Pkwy
Wheat Ridge, CO 80033
Phone (303) 456-6000
Other names 1
- Mrs. Stephanie Broderick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12905 W 40TH Ave
Suite 520
Golden, CO 80401-2790
Phone (303) 665-2603
1411 S Potomac St
350 Coc Arapahoe Sports Medicine and Rehab
Aurora, CO 80012-4543
Phone (303) 695-6060
3 Superior Dr
Suite 225
Superior, CO 80027-8661
Phone (303) 665-2603
Merit-based Incentive Payment System (MIPS)
- Final score
- 43.24 of 100
- Quality
- 73.53
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 70.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT.0004103 | CO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Centers of Colorado, LLC | Occupational Therapist | Current | Accepting new patients |
| Orthopedic Centers of Colorado, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134
8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998
3 Superior Dr
Ste 225
Superior, CO 80027
Phone 3036652603106
500 W 144th Ave
Ste 230
Westminster, CO 80023
Phone 3036652603 ext. 223
3455 Lutheran Pkwy
Ste 105
Wheat Ridge, CO 80033
Phone (303) 456-6000
3455 Lutheran Pkwy
Wheat Ridge, CO 80033
Phone (303) 301-7700
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Denver, CO
- NPI 1801339502
Occupational Therapist
-
- Orthopaedic Surgery Physician
- Superior, CO
- NPI 1336870856
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1992109029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 DEER RUN LN",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680464331",
"telephone_number": "402-547-0790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W 144TH AVE STE 230",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800239328",
"telephone_number": "303-665-2603",
"fax_number": "303-665-2605"
}
],
"practiceLocations": [
{
"address_1": "514 Deer Run Ln",
"address_purpose": "LOCATION",
"city": "Papillion",
"state": "NE",
"postal_code": "680464331",
"country_code": "US",
"telephone_number": "402-547-0790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3455 N Lutheran Pkwy",
"address_purpose": "LOCATION",
"city": "Wheat Ridge",
"state": "CO",
"postal_code": "80033",
"country_code": "US",
"telephone_number": "303-456-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLST",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-17",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251H1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Hand",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT.0004103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "BRODERICK",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.