Healthcare Provider Details

I. General information

NPI: 1265357107
Provider Name (Legal Business Name): ABIGALE MARIE ELLENBERGER OTD,OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19284 COTTONWOOD DR STE 203
PARKER CO
80138-3881
US

IV. Provider business mailing address

1451 N MONUMENT CIR
CASTLE ROCK CO
80104-9821
US

V. Phone/Fax

Practice location:
  • Phone: 720-788-7365
  • Fax:
Mailing address:
  • Phone: 303-802-0891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT.0009432
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT.0009432
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: