Provider Demographics
NPI:1841183480
Name:HALL, EMILY ROSE (MSOT, OTR/L)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ROSE
Last Name:HALL
Suffix:
Gender:F
Credentials:MSOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5020 E 33RD AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-1933
Mailing Address - Country:US
Mailing Address - Phone:224-305-0919
Mailing Address - Fax:
Practice Address - Street 1:4700 CASTLETON WAY
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-7896
Practice Address - Country:US
Practice Address - Phone:207-887-3657
Practice Address - Fax:720-294-0284
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-02
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.015897225X00000X
CA25251225X00000X
COOT.0008798225X00000X
TX123614225X00000X
PAOC019106225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist