Provider Demographics
NPI:1750862066
Name:BAILEY, BRITTNEY (OTR/L)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:BAILEY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 SUMMIT BLVD APT 8104
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-8334
Mailing Address - Country:US
Mailing Address - Phone:501-813-2696
Mailing Address - Fax:
Practice Address - Street 1:1107 W CENTURY DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027
Practice Address - Country:US
Practice Address - Phone:720-507-3447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-24
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0004827225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COOT.0004827OtherCOLORADO DEPARTMENT OF REGULATORY AGENCIES DIVISON OF PROFESSIONS AND OCCUPATIO