Healthcare Provider Details

I. General information

NPI: 1134675986
Provider Name (Legal Business Name): ABOVE AND BEYOND THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2016
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1937 OAKWOOD DR
FORT COLLINS CO
80521-4343
US

IV. Provider business mailing address

2519 S SHIELDS ST STE 1K, #180
FORT COLLINS CO
80526
US

V. Phone/Fax

Practice location:
  • Phone: 970-773-5829
  • Fax:
Mailing address:
  • Phone: 970-773-5829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: KATELYN PATRICIA KNOX
Title or Position: OWNER, OCCUPATIONAL THERAPIST
Credential: MOT, OTR/L
Phone: 970-773-5829