RED WILLOW OCCUPATIONAL MYOFASCIAL (NPI# 1386821825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386821825 |
Entity Type | Organization |
Organization Name | RED WILLOW OCCUPATIONAL MYOFASCIAL |
Practice Address |
823 S Perry St Suite 260 Castle Rock CO 80104-1900 |
Practice Telephone | 3039028476 |
Practice Fax Number | 3032659515 |
Mailing Telephone | 3039028476 |
Mailing Fax Number | 3032659515 |
Enumeration Date | 2008-01-28 |
Last Update Date | 2014-08-20 |
Authorized Official Name | JULIANN HANSON-ZLATEV (OCCUPATIONAL THERAPIST) |
Authorized Official Telephone | 3039028476 |
Authorized Official Credential | OTR |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
823 S PERRY ST SUITE 260 |
City | CASTLE ROCK |
State | CO |
Zip Code | 80104-1900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962468744 | Jane Elizabeth Doherty | Physical Therapist | 823 S Perry St, Castle Rock, CO 80104-1900 | 2006-04-21 |
1790181907 | Neurobalance Physical Therapy | Clinic/Center | 823 S Perry St, Suite 260, Castle Rock, CO 80104-1900 | 2014-11-15 |
1730202193 | Radiant Counseling and Consulting LLC | Counselor | 823 S Perry St, Castle Rock, CO 80104-1900 | 2007-04-09 |
1316089949 | Anne Hellstrom | Counselor | 823 S Perry St, Castle Rock, CO 80104-1900 | 2007-02-12 |
1093878449 | Jennifer Lee Elliott | Counselor | 823 S Perry St, St 100a, Castle Rock, CO 80104-1900 | 2006-12-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932737152 | F2dis, Limited Liability Company | Skilled Nursing Facility | 1055 S. Perry Street, Castle Rock, CO 80104 | 2020-04-01 |
1518497262 | Courtney Renee Mcmurtry | Dental Hygienist | 610 E. Fifth St., Suite 300, Castle Rock, CO 80104 | 2017-06-15 |
1235598350 | Village Physical Therapy, PC | Specialist | 1184 South Perry Street, Suite 230, Castle Rock, CO 80104 | 2016-02-17 |
1730513318 | Erin Evers | Physical Therapist | 4348 Woodlands Boulevard, Suite 100, Castle Rock, Co, CO 80104 | 2013-08-30 |
1730424185 | Ange' Anesthesia | Nurse Anesthetist, Certified Registered | 157 Crosshaven Pl, Castle Rock, CO 80104 | 2012-12-11 |
1902155013 | Rachel Everett | Marriage & Family Therapist | 831 S Perry Street, Suite 100, Castle Rock, CO 80104 | 2012-09-05 |
1922366889 | Health Connections of Castle Rock, Inc. | Massage Therapist | 323 Metzler Dr #105, Castle Rock, CO 80104 | 2012-04-30 |
1326313255 | Kate Ivey | Counselor | 4889 Thorndike Ave, Castle Rock, CO 80104 | 2012-03-10 |
1902106578 | Gordon Talmadge Blair IIi | Physical Therapist | 814 S. Perry St., Suit 101, Castle Rock, CO 80104 | 2010-10-28 |
1285943936 | Denise L Lucia | Psychologist | 509 Wilcox Street, Suite 101, Castle Rock, CO 80104 | 2010-09-29 |
Find all providers in zip 80104 |
Taxonomy Code | 225XN1300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Neurorehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730514183 | Brain Fix Specialist, LLC | Occupational Therapist | 503 N Main St Ste 657, Pueblo, CO 81003-3132 | 2013-09-04 |
1154673200 | Jonnie Sue Hoffman | Occupational Therapist | 2113 Aztec Drive, Pueblo, CO 81008 | 2012-10-12 |
1336336346 | Laura Jean Olderog | Occupational Therapist | Vvmc,181 West Meadow Dr., Vail, CO 81657 | 2007-10-03 |
1639701642 | Noco Neurodevelopmental Treatment Specialists | Occupational Therapist | 3932 John F Kennedy Pkwy Unit 10f, Fort Collins, CO 80525-3085 | 2020-02-07 |
1154953487 | Maxine Haller and Associates | Occupational Therapist | 3932 John F Kennedy Pkwy Unit 10f, Fort Collins, CO 80525-3085 | 2020-02-05 |
1942848734 | Colorado Physical Therapy Specialists Pllc | Occupational Therapist | 2021 Battlecreek Dr Unit A, Fort Collins, CO 80528-5120 | 2019-12-12 |
1265803647 | Diane Osaki | Occupational Therapist | 1728 N Downing St, Denver, CO 80218-1008 | 2015-10-12 |
1609217496 | Osaki Consulting, Inc. | Occupational Therapist | 1728 Downing St, Denver, CO 80218-1008 | 2013-07-10 |
1457507808 | Nancy Bower Hillmer | Occupational Therapist | 3434 47th St, Suite 105, Boulder, CO 80301-1880 | 2008-08-15 |
1184822124 | Terri Margaret Bennett | Occupational Therapist | 701 E Hampden Ave Ste 415, Englewood, CO 80113-2759 | 2007-07-10 |
Find all providers with the same taxonomy |
City | CASTLE ROCK |
Zip Code | 80104 |
Please comment or provide details below to improve the information on RED WILLOW OCCUPATIONAL MYOFASCIAL.
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.