Individual provider Active NPI

Faith K Won, DPT

  • Physical Therapist
  • Centennial, CO
National Provider Identifier
1003464520
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0016581 Issued in CO
Practice address
6851 S Holly Cir Ste 290
Centennial, CO 80112-1076
Phone
(720) 542-8738
NPI assigned
Aug 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0016581 CO Primary

Addresses

Primary practice location

6851 S Holly Cir Ste 290
Centennial, CO 80112-1076

Mailing address

5750 DTC Pkwy Ste 170
Greenwood Village, CO 80111-5483
Phone (303) 504-9945

Other practice location 1

5750 Dtc Pkwy Ste 170
Greenwood Village, CO 80111-5483
Phone (303) 504-9945

Other identifiers 1

IdentifierTypeStateIssuer
9000142570MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1003464520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 DTC PKWY STE 170",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115483",
            "telephone_number": "303-504-9945",
            "fax_number": "303-504-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 S HOLLY CIR STE 290",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121076",
            "telephone_number": "720-542-8738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5750 Dtc Pkwy Ste 170",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801115483",
            "country_code": "US",
            "telephone_number": "303-504-9945",
            "fax_number": "303-504-9946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WON",
        "first_name": "FAITH",
        "middle_name": "K",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0016581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000142570",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.