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

Jordynne Carmichael-Green

Individual provider Occupational Therapist · NPI 1972104297

Jordynne Carmichael-Green is an Occupational Therapist in Canon City, Colorado. Practices as a sole proprietor and works from 2 locations. Licensed in Colorado.

Licensed in
CO
In the registry since
2020

Practice location Address checks out

515 Fairview Ave
Canon City, CO 81212-2863
Phone: (719) 275-0655
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1401 Phay Ave, Canon City, CO 81212-2303 — (719) 275-8656

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT.0006537 (CO)

Record details

NPI number1972104297
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 3, 2020
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024
Mailing address313 Bellows Ct, Canon City, CO 81212-9515

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