MEDICARE: NEW BEGINNINGS THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	2491	CO

General Provider Information

NPI Number	:	1912141078
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW BEGINNINGS THERAPY, LLC

Provider Business Mailing Address
First Line	:	4363 S QUEBEC ST
Second Line	:	#6111
City	:	DENVER
State	:	CO
Zip	:	80237-2646
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4363 S QUEBEC ST
Second Line	:	#6111
City	:	DENVER
State	:	CO
Zip	:	80237-2646
Country	:	US
Telephone Number	:	513-519-0865
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OTR
Name	:	JAMIE MARIE CAIN
Credential	:
Telephone Number	:	513-519-0865

Provider Enumeration Date	:	04/20/2009
Last Update Date	:	04/20/2009

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