Marder Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4108 Issued in CO

Legal business name

MARDER PHYSICAL THERAPY

Practice address

34061 Forest Park Drive
Elizabeth, CO 80107

Phone

(303) 646-9782

Fax

(303) 646-9782

NPI assigned

Mar 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa R Marder, PTNPI 1598895229

Title

President

Phone

(303) 646-9782

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa R Marder, PT

  • Physical Therapist
  • Elizabeth, CO
  • NPI 1598895229
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013047752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1122",
            "city": "ELIZABETH",
            "state": "CO",
            "postal_code": "801071122",
            "telephone_number": "303-646-9782",
            "fax_number": "303-646-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34061 FOREST PARK DRIVE",
            "city": "ELIZABETH",
            "state": "CO",
            "postal_code": "80107",
            "telephone_number": "303-646-9782",
            "fax_number": "303-646-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARDER PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARDER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-646-9782",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PT4108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Lefton
• Rebekah L Lipka
• Lowery Communication LLC
• Piper Isabella Macintyre
• Kathy L Magill, MA. LPC
• Lisa R Marder, PT
• Kenzie Taryn McCabe, NP
• Kelly Ann McDermott, LAC
• Margaret Ann McKee
• Joanne McLain, PH.D.

• Physical Therapist in Elizabeth, CO
• Providers in Elizabeth, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.