Innovative Skilled Therapy Services, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

INNOVATIVE SKILLED THERAPY SERVICES, LLC

Practice address

14241 E 4TH Ave Ste 5-225
Aurora, CO 80011-8733

NPI assigned

Mar 30, 2016

Last updated

Dec 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jan'NA Walker, OTD, OTR/LNPI 1780811943

Title

Owner

Phone

(720) 439-0187

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jan'NA Walker, OTD, OTR/L

  • Occupational Therapist
  • Aurora, CO
  • NPI 1780811943
  NPD (past) Authorized official

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546041600000",
    "number": "1992168736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14241 E 4TH AVE STE 225",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118733",
            "telephone_number": "720-439-0187",
            "fax_number": "303-200-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14241 E 4TH AVE STE 5-225",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SKILLED THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2018-12-29",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JAN'NA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-439-0187",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Aurora, CO
• Providers in Aurora, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2018; 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.