Jacke Khantivong, OTR/L
NPI 1619114485 · Occupational Therapist · Denver, CO
Jacke Khantivong, OTR/L is a Occupational Therapist provider in Denver, CO (NPI 1619114485).
Provider details
- NPI number
- 1619114485
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 003380 (CT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-01-14
- Last updated
- 2010-08-31
Frequently asked questions
- What is Jacke Khantivong's NPI number?
- Jacke Khantivong's National Provider Identifier (NPI) is 1619114485, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacke Khantivong's specialty?
- Jacke Khantivong is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jacke Khantivong located?
- Jacke Khantivong's practice location on file with NPPES is 1247 S Race St, Denver, CO 80210-1817.
- What is Jacke Khantivong's phone number?
- The practice phone number listed in the NPPES registry for Jacke Khantivong is (860) 306-1384.
- Is Jacke Khantivong's NPI active?
- Yes — Jacke Khantivong's NPI (1619114485) is active in the NPPES registry as of the last update on 2010-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.