Healthcare Provider Details

I. General information

NPI: 1790996460
Provider Name (Legal Business Name): CHRISTA PAVLUS OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 PLAZA DR
LOUISVILLE CO
80027-2325
US

IV. Provider business mailing address

5764 E WETLANDS DR
FREDERICK CO
80504-9690
US

V. Phone/Fax

Practice location:
  • Phone: 303-926-3849
  • Fax:
Mailing address:
  • Phone: 720-318-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: