EVERGREEN THERAPY LLC (NPI# 1881039451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881039451 |
Entity Type | Organization |
Organization Name | EVERGREEN THERAPY LLC |
Practice Address |
601 Griffin Pl Apt A Fort Collins CO 80521-1896 |
Practice Telephone | 3035790322 |
Mailing Telephone | 3035790322 |
Enumeration Date | 2013-05-08 |
Last Update Date | 2013-05-08 |
Authorized Official Name | MR. BARRY DARREN MATSUO PEDERSON (OWNER) |
Authorized Official Telephone | 3035790322 |
Authorized Official Credential | OTR |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 3123 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891306973 | Evergreen Therapy LLC | Marriage & Family Therapist | 1245 Pearl St Ste 208, Eugene, OR 97401-3564 | 2020-08-12 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | EVERGREEN THERAPY LLC | 345 E 31st Ave, Eugene, OR 97405 |
Street Address |
601 GRIFFIN PL APT A |
City | FORT COLLINS |
State | CO |
Zip Code | 80521-1896 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215208855 | Barry D. M. Pederson | Occupational Therapist | 601 Griffin Pl, Apt A, Fort Collins, CO 80521-1896 | 2012-01-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386172799 | Seth Lundberg Cowden | Dentist | 1015 S Taft Hill Rd Ste K, Fort Collins, CO 80521 | 2017-05-30 |
1184174773 | Alison Butler | Counselor | 320 W. Olive St, Fort Collins, CO 80521 | 2016-10-07 |
1134675986 | Above and Beyond Therapy, LLC | Occupational Therapist | 305 W Magnolia St. Pmb #175, Fort Collins, CO 80521 | 2016-08-31 |
1053763722 | Jessie Charbonneau | Counselor | 123 Aylesworth Hall, Csuhn Counseling Center, Fort Collins, CO 80521 | 2016-07-06 |
1215308861 | Brittany Koehler | Specialist/Technologist | 3002 W. Elizabeth 24f, Fort Collins, CO 80521 | 2015-10-08 |
1932538972 | Jessica Miller | Social Worker | 123 Ayleswort Hall Nw, Fort Collins, CO 80521 | 2013-11-08 |
1255690715 | Simon Peter Ferraro Dove | Chiropractor | 1302 South Shields, #a1-3, Fort Collins, CO 80521 | 2012-05-03 |
1194903153 | Island Grove Regional Treatment Center | Substance Abuse Rehabilitation Facility | 212 W Mountain Avenue, Ft Collins, CO 80521 | 2008-02-01 |
1356535975 | Wendy Brumley Lee | Community Based Residential Treatment Facility, Mental Illness | 1644 S. College Avenue, Ft. Collins, CO 80521 | 2007-08-28 |
1184833832 | James J Reid LLC | Social Worker | 1220 University Ave, Ft Collins, CO 80521 | 2007-05-21 |
Find all providers in zip 80521 |
Taxonomy Code | 225X00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932707833 | Caitlin Rose Martin | Occupational Therapist | 710 City Park Ave Apt B230, Fort Collins, CO 80521-3448 | 2020-10-13 |
1992302962 | Sarah S Beetch | Occupational Therapist | 201 Alder Hall 850 S Mason St, Fort Collins, CO 80523-0001 | 2020-10-02 |
1568071223 | Stacey Nichols | Occupational Therapist | 1573 Campus Delivery Colorado State University, Fort Collins, CO 80523-0001 | 2020-07-29 |
1790311264 | Shea Mccowen | Occupational Therapist | 201 Alder Hall 850 S Mason St Colorado State University, Fort Collins, CO 80523-0001 | 2020-03-17 |
1982236451 | Emily Fawaz | Occupational Therapist | 3137 Eagle Dr, Fort Collins, CO 80526-2815 | 2020-02-12 |
1346888658 | Alison Kay Vanskiver | Occupational Therapist | 1532 Haymarket St, Fort Collins, CO 80526-7207 | 2019-12-17 |
1972149383 | Haleigh K. Chwirka | Occupational Therapist | 1218 Pomona St Apt Cc, Fort Collins, CO 80521-3701 | 2019-11-20 |
1780225896 | Anna Peyton | Occupational Therapist | 2812 Trenton Way, Fort Collins, CO 80526-2298 | 2019-10-01 |
1801451166 | Michelle Lynne Brodsky | Occupational Therapist | 2713 Willow Creek Dr, Fort Collins, CO 80525-6151 | 2019-05-02 |
1184287609 | Anais Mabell Campbell | Occupational Therapist | 405 Mathews St Unit A, Fort Collins, CO 80524-2909 | 2019-04-19 |
Find all providers in FORT COLLINS |
City | FORT COLLINS |
Zip Code | 80521 |
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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.