=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689339921
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CAYLA BURTON OT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/02/2021
-----------------------------------------------------
Last Update Date | 04/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 274 UNION BLVD STE 220
-----------------------------------------------------
City | LAKEWOOD
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80228-1835
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-535-5671
-----------------------------------------------------
Fax | 303-362-8986
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2749 WALNUT ST APT 107
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80205-2232
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 315-440-5773
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | 026028
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------