BRANT MICHAEL WILLOUGHBY (NPI# 1568863777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568863777 |
| Entity Type | Individual |
| Full Name | BRANT MICHAEL WILLOUGHBY |
| Credential | C.O.T.A. |
| Practice Address |
1000 E Stuart St Fort Collins CO 80525-1555 |
| Mailing Address |
3634 Butternut Dr Loveland CO 80538-7621 |
| Practice Telephone | 9704825712 |
| Mailing Telephone | 7852014132 |
| Enumeration Date | 2014-09-07 |
| Last Update Date | 2014-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 0000407 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | STATE OF COLORADO BOARD OF HEALING ARTS | 0000407 | 01 |
| Street Address |
1000 E STUART ST |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-1555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750301438 | Arlene Marie Martin-bandy | Counselor | 1000 E Stuart St, Fort Collins, CO 80525-1555 | 2006-07-19 |
| 1215586599 | Sally Lyn Conroy | Physical Therapy Assistant | 1000 E Stuart St, Fort Collins, CO 80525-1555 | 2019-09-09 |
| 1497304059 | Amanda L Carmona | Occupational Therapy Assistant | 1000 E Stuart St, Fort Collins, CO 80525-1555 | 2019-09-06 |
| 1053960542 | Bailey Breann Knox | Physical Therapy Assistant | 1000 E Stuart St, Fort Collins, CO 80525-1555 | 2019-09-06 |
| 1942859459 | Christine Renee Rutledge | Occupational Therapy Assistant | 1000 E Stuart St, Fort Collins, CO 80525-1555 | 2019-09-06 |
| 1285283705 | Brooke Ranallo | Occupational Therapy Assistant | 1000 E Stuart St, Fort Collins, CO 80525-1555 | 2019-09-06 |
| 1083263891 | Morrine Mary Moody | Speech-Language Pathologist | 1000 E Stuart St, Fort Collins, CO 80525-1555 | 2019-09-05 |
| 1295384931 | Garrett Brockmeyer | Physical Therapist | 1000 E Stuart St, Fort Collins, CO 80525-1555 | 2019-09-05 |
| 1427605344 | Kelly Shields | Occupational Therapist | 1000 E Stuart St, Fort Collins, CO 80525-1555 | 2019-08-26 |
| 1770148975 | George Anderson Purcelley | Physical Therapist | 1000 E Stuart St, Fort Collins, CO 80525-1555 | 2019-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| 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 |
|---|---|---|---|---|
| 1205383775 | Nikodem Walkowiak | Occupational Therapy Assistant | 1730 Effingham St, Fort Collins, CO 80526-2343 | 2016-09-01 |
| 1790163210 | Lantz Belizaire | Occupational Therapy Assistant | 1108 Newsom St, Fort Collins, CO 80524-3861 | 2015-05-16 |
| 1942601901 | Morgan Barclay | Occupational Therapy Assistant | 127 N Meldrum St Apt 104, Fort Collins, CO 80521-2664 | 2014-09-09 |
| 1104255975 | Cynthia Yordon | Occupational Therapy Assistant | 1632 Ukiah Ln, Fort Collins, CO 80525-5308 | 2013-11-02 |
| 1467797118 | Matthias Haller | Occupational Therapy Assistant | 451 Boardwalk Dr, Apt 1118, Fort Collins, CO 80525-3220 | 2012-12-06 |
| 1376873026 | Lisa Pinet Lafehr | Occupational Therapy Assistant | 3330 Sunningdale Pl, Fort Collins, CO 80525-2859 | 2009-12-31 |
| 1174787980 | Christopher Michael Maguire | Occupational Therapy Assistant | 7503 Walsh Ct, Fort Collins, CO 80525-8283 | 2008-07-11 |
| 1295908838 | Mary Leonard | Occupational Therapy Assistant | 3933 Scotsmoore Dr, Fort Collins, CO 80524-6417 | 2008-04-03 |
| 1508043357 | Laurie Dale | Occupational Therapy Assistant | 1137 Miramont Dr, Fort Collins, CO 80524-1901 | 2008-01-23 |
| 1780212910 | Kendall Ann Gaffney | Occupational Therapy Assistant | 1500 S Lemay Ave, Fort Collins, CO 80524-4262 | 2020-04-01 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
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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.