IndividualActive
Mikaela Blum, OTR/L
NPI 1962169656 · Occupational Therapist · Ault, CO
Provider details
- NPI number
- 1962169656
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- OTP-OT-LIC-8583 (MT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
617 Santa Fe Trail
Ault, CO 80610
Phone: (970) 324-0899
Approximate (ZIP-level) locationGet directions
Mailing address
617 Santa Fe Trail
Ault, CO 80610
Registry dates
- Enumerated
- 2021-11-17
- Last updated
- 2023-03-23
- Certified
- 2023-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.