Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellen Hiestand

Individual provider Occupational Therapist · NPI 1922871771

Ellen Hiestand is an Occupational Therapist in Private Practice in Boulder, Colorado. Qualified in 2023, 3 years ago. Practices with Aspire Therapy and Wellness LLC, a 30-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
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Practice location Address checks out

4730 Table Mesa Dr Ste K100
Boulder, CO 80305-5591
Phone: (303) 954-8423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1922871771
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 3, 2023
Last updated in NPPESNovember 3, 2023
Certification dateNovember 3, 2023
Mailing address2857 Shadow Creek Dr, Boulder, CO 80303-1738

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Aspire Therapy And Wellness Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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