Healthcare Provider Details

I. General information

NPI: 1114417227
Provider Name (Legal Business Name): KARLY BARRETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2018
Last Update Date: 05/07/2024
Certification Date: 05/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1860 N LINCOLN ST
DENVER CO
80203-7301
US

IV. Provider business mailing address

19725 CLUBHOUSE DR APT 126
PARKER CO
80138-6267
US

V. Phone/Fax

Practice location:
  • Phone: 720-423-3200
  • Fax:
Mailing address:
  • Phone: 973-919-6275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number46TR00783400
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number022004
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT.0008187
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: