Provider Demographics
NPI:1821686536
Name:SCHORN, NOELLE (OTR/L, OTD)
Entity type:Individual
Prefix:DR
First Name:NOELLE
Middle Name:
Last Name:SCHORN
Suffix:
Gender:F
Credentials:OTR/L, OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 W 9TH AVE UNIT 3203
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-4055
Mailing Address - Country:US
Mailing Address - Phone:720-507-3909
Mailing Address - Fax:
Practice Address - Street 1:150 W 9TH AVE UNIT 3203
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-4055
Practice Address - Country:US
Practice Address - Phone:720-507-3909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-07
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT21806225X00000X
COOT.0007201225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA21806OtherCALIFORNIA OCCUPATIONAL THERAPY LICENSE NUMBER
COOT.0007201OtherCOLORADO OCCUPATIONAL THERAPY LICENSE NUMBER
000004540001OtherAOTA OCCUPATIONAL THERAPY NATIONAL REGISTRATION NUMBER