Provider Demographics
NPI:1013500743
Name:NEURO CONNECTIONS OCCUPATIONAL THERAPY
Entity Type:Organization
Organization Name:NEURO CONNECTIONS OCCUPATIONAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGENBACH
Authorized Official - Suffix:
Authorized Official - Credentials:OTD, OTR/L
Authorized Official - Phone:719-213-0603
Mailing Address - Street 1:2329 S FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5105
Mailing Address - Country:US
Mailing Address - Phone:719-213-0603
Mailing Address - Fax:
Practice Address - Street 1:2329 S FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5105
Practice Address - Country:US
Practice Address - Phone:719-213-0603
Practice Address - Fax:720-316-5962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-13
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COOT.0006432OtherDEPARTMENT OF REGULATORY AGENCY COLORADO