MEDICARE: HALLIE EMMA SHERIDAN OTD, OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	0009248	CO

General Provider Information

NPI Number	:	1669328183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALLIE EMMA SHERIDAN OTD, OTR/L

Provider Business Mailing Address
First Line	:	1157 DUFF DR APT 3
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-1676
Country	:	US
Telephone Number	:	218-731-8815
Fax Number	:

Provider Business Practice Location Address
First Line	:	4650 ROYAL VISTA CIR STE 100
Second Line	:
City	:	WINDSOR
State	:	CO
Zip	:	80528-9321
Country	:	US
Telephone Number	:	970-305-5070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

Similar Medicare Providers

1790857761 — KATHRYN KIBLEN
Practice Location Address:

4650 ROYAL VISTA CIR STE 100
WINDSOR, CO
80528-9321

Practice Phone: 970-305-5070
Practice Fax: 970-541-0357

1245497353 — ILIA SRYGLEY OTR
Practice Location Address:

4650 ROYAL VISTA CIR
WINDSOR, CO
80528-9321

Practice Phone: 970-305-5070
Practice Fax:

1881923498 — MRS. AMY MICHELLE MULLIGAN MA, CCC-SLP
Practice Location Address:

4650 ROYAL VISTA CIR
WINDSOR, CO
80528-9321

Practice Phone: 970-305-5070
Practice Fax:

1770039638 — MADELYN TRIZ
Practice Location Address:

4650 ROYAL VISTA CIR STE 100
WINDSOR, CO
80528-9321

Practice Phone: 970-305-5070
Practice Fax:

1770078123 — BEST LIFE PHYSICAL THERAPY
Practice Location Address:

4650 ROYAL VISTA CIR STE 100
WINDSOR, CO
80528-9321

Practice Phone: 970-214-3995
Practice Fax: 970-360-1061

1225513310 — KRISTY KONECKY
Practice Location Address:

4650 ROYAL VISTA CIR
WINDSOR, CO
80528-9321

Practice Phone: 970-818-0197
Practice Fax:

Directions to “ HALLIE EMMA SHERIDAN OTD, OTR/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.