MS. LISA ROSE BACA (NPI# 1356754725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356754725 |
| Entity Type | Individual |
| Full Name | MS. LISA ROSE BACA |
| Credential | COTA |
| Practice Address |
409 Benedicta Ave Trinidad CO 81082-2004 |
| Practice Telephone | 7196469291 |
| Mailing Telephone | 7196469291 |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA0000191 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | COLORADO STATE LICENSE | OTA.0000191 | 01 |
| Street Address |
409 BENEDICTA AVE |
| City | TRINIDAD |
| State | CO |
| Zip Code | 81082-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033106760 | State of Colorado | Skilled Nursing Facility | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2005-09-27 |
| 1144843228 | Kandra Selby Kendall | Physical Therapist | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2020-05-22 |
| 1447709837 | Amy Karls | Occupational Therapy Assistant | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2016-09-26 |
| 1982052452 | Mt Rose Health Center Palliative Care and Hospice Inc | Hospice, Inpatient | 409 Benedicta Ave, Suite A, Trinidad, CO 81082-2004 | 2016-05-25 |
| 1659726578 | Sherri Incitti | Physical Therapy Assistant | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2016-04-28 |
| 1841657723 | Trinidad Inn Inc | Respite Care | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2016-01-22 |
| 1861890329 | Annie Holgerson | Physical Therapy Assistant | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2014-12-16 |
| 1225474901 | Mt Rose Health Center | Legal Medicine | 409 Benedicta Ave, Suite A, Trinidad, CO 81082-0000 | 2013-05-21 |
| 1346597143 | Rebecca Lynne Nolan | Physical Therapy Assistant | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2012-08-10 |
| 1891086898 | Sara Jan Ferguson | Occupational Therapist | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2011-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509583 | Crossroads' Turning Points, Inc. | Substance Abuse Rehabilitation Facility | 1004 Carbon Place, Trinidad, CO 81082 | 2020-05-14 |
| 1912427030 | Gwyndolyn Suzanne Snyder | Nurse Practitioner | 1112 Grant Ave, Trinidad, CO 81082 | 2017-06-20 |
| 1336273143 | Online Therapy Services Inc. | Speech-Language Pathologist | 207 E Main, Trinidad, CO 81082 | 2007-03-15 |
| 1023119203 | Paul Andreatta D.d.s.p.c. | Dentist | 1723 E. Main St., Trinidad, CO 81082 | 2006-09-26 |
| 1467400309 | Trinidad Area Health Association | Internal Medicine | 400 Benedicta Ave Ste A, Trinidad, CO 81082 | 2006-05-04 |
| 1235651670 | Kevin Patrick Crosby | Counselor | 417 S Indiana Ave, Trinidad, CO 81082 | 2017-07-07 |
| 1174054928 | Brittany Ladonna Jauernig | Chiropractor | 500 San Juan St, Trinidad, CO 81082 | 2017-03-23 |
| 1982142188 | Southern Colorado Developmental Disabilities Services, Inc | Case Manager/Care Coordinator | 415 S Indiana Ave, Trinidad, CO 81082 | 2017-02-08 |
| 1295001071 | James Ashley Ward | Counselor | 417 S Indiana Ave, Trinidad, CO 81082 | 2012-03-27 |
| 1275704694 | Steven David Blohm | Dentist | 209 E Main, Trinidad, CO 81082 | 2008-03-13 |
| Find all providers in zip 81082 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447709837 | Amy Karls | Occupational Therapy Assistant | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2016-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700804 | Vijaya Moktan | Occupational Therapy Assistant | 12275 Claude Ct Unit 1235, Northglenn, CO 80241-3365 | 2020-11-05 |
| 1790382919 | Start Active Recovery, LLC | Occupational Therapy Assistant | 13701 W Jewell Ave Ste 113, Lakewood, CO 80228-4172 | 2020-10-01 |
| 1235746603 | Jessi Gofinch | Occupational Therapy Assistant | 833 Jersey St, Denver, CO 80220-4530 | 2020-09-29 |
| 1790399194 | Alpine Therapy Services, LLC | Occupational Therapy Assistant | 2740 Sunset Way, Erie, CO 80516-4606 | 2020-09-02 |
| 1376156406 | Candice Marie Rosenbohm | Occupational Therapy Assistant | 1069 Milano Pt Apt 1624, Colorado Springs, CO 80921-5668 | 2020-08-28 |
| 1154932333 | Carlee Amber Bizzell | Occupational Therapy Assistant | 1397 Celtic St, Colorado Springs, CO 80910-1373 | 2020-08-12 |
| 1386255404 | Joshua Ehrichs | Occupational Therapy Assistant | 3684 S Yampa Way, Aurora, CO 80013-3536 | 2020-08-12 |
| 1235764663 | Marquesa Felker | Occupational Therapy Assistant | 711 E Euclid Ave, Littleton, CO 80121-2312 | 2020-03-05 |
| 1477187839 | Brittany Talbot | Occupational Therapy Assistant | 4681 Wilson Dr, Broomfield, CO 80023-8112 | 2020-02-25 |
| 1245863075 | Robert G Daenen | Occupational Therapy Assistant | 805 W Midway Blvd, Broomfield, CO 80020-3511 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.