Provider Demographics
NPI:1265834410
Name:LAADT, VIRGINIA LOUISE (PHD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:LOUISE
Last Name:LAADT
Suffix:
Gender:F
Credentials:PHD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5887 S PAINTBRUSH CT
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-1500
Mailing Address - Country:US
Mailing Address - Phone:720-379-8706
Mailing Address - Fax:
Practice Address - Street 1:5887 S PAINTBRUSH CT
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-1500
Practice Address - Country:US
Practice Address - Phone:720-379-8706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-18
Last Update Date:2016-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0003952225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO63383071Medicaid