Individual provider Active NPI

Lotte Black

  • Physical Therapist
  • Littleton, CO
National Provider Identifier
1023979044
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0020934 Issued in CO
Practice address
10125 W San Juan Way
Littleton, CO 80127-6330
Phone
(303) 933-9057
NPI assigned
Nov 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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 0020934 CO Primary

Addresses

Primary practice location

10125 W San Juan Way
Littleton, CO 80127-6330

Mailing address

10125 W San Juan Way
Littleton, CO 80127-6330
Phone (303) 933-9057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251212001925 CO Practitioner - Physical Therapist in Private Practice 4688167034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Feldhake Physical Therapy LTDGroup PAC ID 0648238410, 33 clinicians

Practice addresses (Care Compare)

10125 W San Juan Way
Suite 120
Littleton, CO 80127-6330
Phone (720) 493-1181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0020934COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Feldhake Physical Therapy, LTD. CurrentSince Nov 20, 2025 Accepting new patients
Coverly Physical Therapy, Inc. PastSince Aug 10, 2005 Accepting new patients

Locations

2418 E Bridge St
Brighton, CO 80601
Phone (303) 655-8699

7340 S Alton Way
Ste 11-D
Centennial, CO 80112
Phone (720) 493-1181

1550 S Pearl St
Ste 101
Denver, CO 80210
Phone (303) 778-7246

10125 W San Juan Way
Ste 120
Littleton, CO 80127
Phone (303) 933-9057

9351 Grant St
Ste 380
Thornton, CO 80229
Phone (303) 655-8699

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1023979044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10125 W SAN JUAN WAY",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276330",
            "telephone_number": "303-933-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10125 W SAN JUAN WAY",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276330",
            "telephone_number": "303-933-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "LOTTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0020934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.