ERIC NICHOLAS MACK


Address: 6160 Tutt Blvd, Colorado Springs, CO 80923-3500
Phone: 7195402150

ERIC NICHOLAS MACK (NPI# 1639703812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639703812
Entity Type Individual
Full Name ERIC NICHOLAS MACK
Credential OTR/L
Practice Address 6160 Tutt Blvd
Colorado Springs
CO 80923-3500
Mailing Address 4228 Winding Way Ct
Dallas
TX 75287-2767
Practice Telephone 7195402150
Mailing Telephone 8025586656
Enumeration Date 2020-02-26
Last Update Date 2020-02-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XP0200X Occupational Therapist
Specialization: Pediatrics
433776 TX Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers ERIC MACK

NPI Name Taxonomy Address Enumeration
1427432947 Eric Lamont Mack Jr. Chiropractor 5775 Perimeter Dr Ste 160, Dublin, OH 43017-3257 2015-07-14
1861464018 Eric L Mack Dentist 15250 E Orchard Rd, Centennial, CO 80016-3003 2006-02-02
1174715064 Eric N Mack Occupational Therapy Assistant 265 Township Line Rd, Elkins Park, PA 19027-2221 2007-08-14

Office Location

Street Address 6160 TUTT BLVD
City COLORADO SPRINGS
State CO
Zip Code 80923-3500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801891924 Eric Howard Silverstein Obstetrics & Gynecology 6160 Tutt Blvd, Suite 210, Colorado Springs, CO 80922-3568 2005-06-15
1811519911 Panorama Orthopedics & Spine Center, PC Clinic/Center 6160 Tutt Blvd, Colorado Springs, CO 80923-3500 2020-05-12
1811549884 Angelina Marie Giuliano Specialist 6160 Tutt Blvd, Colorado Springs, CO 80923-3500 2019-07-10
1558870402 Cassandra J Sergeant Assistant Behavior Analyst 6160 Tutt Blvd, Colorado Springs, CO 80923-3500 2017-09-22
1003362450 Mcvay Foot & Ankle, PC Podiatrist 6160 Tutt Blvd, Ste 150, Colorado Springs, CO 80923-3500 2016-08-26
1104275601 Lewis Baumann Physical Therapist 6160 Tutt Blvd, Colorado Springs, CO 80923-3500 2016-06-06
1487003976 Lynn M Williams Physical Therapist 6160 Tutt Blvd, Suite 240, Colorado Springs, CO 80923-3500 2016-06-06
1134587322 Renae Elizabeth Guzman Massage Therapist 6160 Tutt Blvd, Suite 102, Colorado Springs, CO 80923 2016-02-03
1447617790 Power of Massage Massage Therapist 6160 Tutt Blvd, Suite 102, Colorado Springs, CO 80923-3500 2016-01-18
1487037636 Kara Duran Behavioral Analyst 6160 Tutt Blvd, Colorado Springs, CO 80923-3500 2015-07-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356942171 Colorado Otolaryngology Associates, LLC Specialist 6031 E. Woodmen Rd., Ste. 300, Colorado Springs, CO 80923 2020-11-06
1750993861 Kara Pitou Dietitian, Registered 7064 Renegade Ridge Dr, Colorado Springs, CO 80923 2020-08-19
1366933632 The Traveling Therapist, LLC Social Worker 6319 Sundance Kid Dr, Colorado Springs, CO 80923 2018-05-22
1669972246 Stacy H Furukawa Behavior Technician 5719 Hawk Springs Dr, Colorado Springs, CO 80923 2018-02-20
1528573854 Wal-mart Sores, Inc. Durable Medical Equipment & Medical Supplies 7825 Dublin Blvd, Colorado Springs, CO 80923 2017-12-08
1699148544 Kristin Sekelsky Nurse Practitioner 6160 Tutt Blvd Ste 150, Colorado Springs, CO 80923 2015-11-01
1164826640 Nancy Bakhtiar Massage Therapist 6160 Tutt Blve #102, Colorado Springs, CO 80923 2014-10-13
1558664326 Helen Sobeck Nurse Practitioner 6001 E. Woodmen Road, Nicu St. Frances Medical Center, Colorado Springs, CO 80923 2010-12-16
1679891832 Tristan Poe Lindberg Pediatrics 6001 E Woodmen Road, Colorado Springs, CO 80923 2010-05-12
1194058933 Tiffany Ann Nelson Physician Assistant 6001 E. Woodmen Rd., St. Francis Medical Center - Nicu, Colorado Springs, CO 80923 2009-09-11
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Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356822084 Chuckies Place Occupational Therapist 14445 Holmes Rd, Colorado Springs, CO 80908-3344 2018-08-21
1932520657 Linnea Fouts Occupational Therapist 6410 Pinto Pony Dr, Colorado Springs, CO 80922-1300 2013-12-23
1154765188 Nancy Batiuk Morin Occupational Therapist 1170 Bison Ridge Dr, Colorado Springs, CO 80919-1531 2013-04-22
1447597711 Adrienne A Maxey Occupational Therapist 92 Saddlemountain Rd, Colorado Springs, CO 80919-2112 2013-01-07
1972802304 Ace Pediatric Therapy, LLC Occupational Therapist 720 N Bear Paw Ln, Colorado Springs, CO 80906-3215 2011-03-24
1134420532 Amy Nicole Losier Occupational Therapist 8540 Scarborough Dr Ste 300, Colorado Springs, CO 80920-7519 2010-11-16
1164745568 Olivia Lauren Beare Occupational Therapist 2549 Gold Rush Dr Apt 1, Colorado Springs, CO 80906-3847 2010-03-12
1710072061 Elizabeth Selby Law Occupational Therapist 580 Blackhawk Ct, Colorado Springs, CO 80919-1143 2006-10-04
1164534475 Heather Lynn Hoornbeek Occupational Therapist 12723 Rockbridge Cir, Colorado Springs, CO 80921-6606 2006-08-31
1033749882 Kathryn Thomas Occupational Therapist 3090 N Academy Blvd, Colorado Springs, CO 80917-5310 2020-01-21
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Competitor

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City COLORADO SPRINGS
Zip Code 80923

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Dataset Information

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.

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