Individual provider Active NPI

Allison Anne Lackey, DPT

  • Physical Therapist
  • Littleton, CO
National Provider Identifier
1093385478
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0017842 Issued in CO
Practice address
151 W Mineral Ave Ste 116a
Littleton, CO 80120-4510
Phone
(303) 798-5602
NPI assigned
Jun 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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.0017842 CO Primary

Addresses

Primary practice location

151 W Mineral Ave Ste 116a
Littleton, CO 80120-4510

Mailing address

109 Thorne Grove Dr
Vernon Hills, IL 60061-2565
Phone (847) 722-3103

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240813001940 CO Practitioner - Physical Therapist in Private Practice 3577001270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Physical Therapy, LLCGroup PAC ID 8527387877, 17 clinicians

Practice addresses (Care Compare)

5008 W 92ND Ave
Suite a 3
Westminster, CO 80031-6302
Phone (303) 412-7035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy, LLC Physical Therapist CurrentSince Jul 30, 2024 Accepting new patients
Premier Physical Therapy Physical Therapist PastSince Jul 30, 2024 Accepting new patients

Locations

5008 W 92nd Ave
Ste A3
Westminster, CO 80031
Phone (303) 412-7035

3501 Highland Pl
Westminster, CO 80031
Phone (303) 412-7035

5008 W 92nd Ave
Westminster, CO 80031
Phone (303) 412-7035

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": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1093385478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 THORNE GROVE DR",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600612565",
            "telephone_number": "847-722-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W MINERAL AVE STE 116A",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204510",
            "telephone_number": "303-798-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKEY",
        "first_name": "ALLISON",
        "middle_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017842",
            "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 Dec 9, 2021; 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.