Organization Active NPI

Stacy Labar Therapy, LLC

  • Occupational Therapist
  • Northglenn, CO
National Provider Identifier
1992764583
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1035295 Issued in CO
Legal business name
STACY LABAR THERAPY, LLC
Practice address
11154 Huron St
#101
Northglenn, CO 80234-2329
Phone
(303) 886-5348
Fax
(303) 562-2415
NPI assigned
Mar 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Authorized official

Name
Mrs. Stacy Labar
Title
Occupational Therapist
Phone
(303) 886-5348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 1035295 CO Primary

Addresses

Primary practice location

11154 Huron St
#101
Northglenn, CO 80234-2329

Mailing address

11154 Huron St
#101
Northglenn, CO 80234-2329
Phone (303) 886-5348

Other identifiers 2

IdentifierTypeStateIssuer
89832337MedicaidCO
52605272MedicaidCO

Other names 1

  • Rocky Mountain Kid Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rocky Mountain Kid Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11154 Huron St
Ste 101
Northglenn, CO 80234
Phone (303) 886-5348

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1992764583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11154 HURON ST",
            "address_2": "#101",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802342329",
            "telephone_number": "303-886-5348",
            "fax_number": "303-562-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11154 HURON ST",
            "address_2": "#101",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802342329",
            "telephone_number": "303-886-5348",
            "fax_number": "303-562-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY LABAR THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "LABAR",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "303-886-5348",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "1035295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89832337",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52605272",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Mountain Kid Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.