Darlene Gale Zerwekh Reardon, MPT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PTL0008804 Issued in CO

Practice address

700 Tenacity Dr Unit 101
Longmont, CO 80504-8487

Phone

(303) 776-8003

NPI assigned

Aug 26, 2018

Last updated

Aug 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Innovative Physical Therapy LLC

  dba Avanti Therapy

  • Physical Therapist
  • Boulder, CO
  • NPI 1831341338

  Physical Therapy

  Medicare reassignment NPD
• Lyons Physical Therapy Inc

  • Specialist
  • Lyons, CO
  • NPI 1972798874

  Physical Therapy

  NPD (past)

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

{
    "created_epoch": "1535241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535241600000",
    "number": "1073094223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 BUCKTHORN WAY",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272715",
            "telephone_number": "303-877-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 TENACITY DR UNIT 101",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805048487",
            "telephone_number": "303-776-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERWEKH REARDON",
        "first_name": "DARLENE",
        "middle_name": "GALE",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-26",
        "last_updated": "2018-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "PTL0008804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Zamora, LPN
• Edward Zbigniew Zebrowski, M.S.W., LCSW, BCD
• Warren R Zeger
• Paula J Zegob-Hartmann, M.D.
• Giovani Zendejas
• Patrick A Zeyher, MA, NCC, LPC
• Susanne Zezula
• Emmalee Zian
• Jennifer L Zibell, MS CCC-SLP
• Sheila Ziegelheim

• Physical Therapy Clinic/Center in Longmont, CO
• Providers in Longmont, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2018; 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.