Individual provider Active NPI

Chelsea Rose, MS/OTR

  • Occupational Therapist
  • Fort Collins, CO
National Provider Identifier
1992135750
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0003594 Issued in CO
Practice address
1332 Village Park CT
Fort Collins, CO 80526-1757
Phone
(720) 402-1977
NPI assigned
Nov 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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.0003594 CO Primary

Addresses

Primary practice location

1332 Village Park CT
Fort Collins, CO 80526-1757

Mailing address

1332 Village Park CT
Fort Collins, CO 80526-1757
Phone (720) 402-1977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161103000952 CO Practitioner - Occupational Therapist in Private Practice 8123306669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Noco Pediatric OT, LLC Occupational Therapist CurrentSince Mar 10, 2022 Accepting new patients
Noco Pediatric OT, LLC Occupational Therapist Current Accepting new patients
Noco Pediatric OT, LLC Occupational Therapist Past Accepting new patients

Locations

1931 65th Ave
Ste C
Greeley, CO 80634
Phone (970) 352-1877

4650 Royal Vista Cir
Ste 100
Windsor, CO 80528
Phone (970) 305-5070

Organizations & group practices 3

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": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1992135750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 VILLAGE PARK CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261757",
            "telephone_number": "720-402-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 VILLAGE PARK CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261757",
            "telephone_number": "720-402-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "CHELSEA",
        "credential": "MS/OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0003594",
            "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 Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.