Individual provider Active NPI

Lauren St Onge, PT

  • Physical Therapist
  • Westminster, CO
National Provider Identifier
1093584187
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016787 Issued in GA
Practice address
8501 Turnpike Dr Unit 100
Westminster, CO 80031-7042
Phone
(303) 430-2490
NPI assigned
Dec 29, 2023
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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 PT016787 GA Primary

Addresses

Primary practice location

8501 Turnpike Dr Unit 100
Westminster, CO 80031-7042

Mailing address

3304 Hickok PL
Boulder, CO 80301-1949
Phone (404) 862-8066

Other practice location 1

1860 Atkinson Rd Ste 101
Lawrenceville, GA 30043-5066
Phone (186) 010-1300

Other identifiers 3

IdentifierTypeStateIssuer
236MedicaidDC
568946544OtherBCBS
5874OtherHEALTH PARTNERS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL securerecords.sanford.html

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

State licenses

LicenseStateTypeSpecialty
PT016787GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy & Rehabilitation Services, PC Physical Therapist CurrentSince Nov 7, 2024 Accepting new patients

Locations

8501 Turnpike Dr
Unit 100
Westminster, CO 80031
Phone (303) 430-2490

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1093584187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 HICKOK PL",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011949",
            "telephone_number": "404-862-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 TURNPIKE DR UNIT 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800317042",
            "telephone_number": "303-430-2490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1860 Atkinson Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300435066",
            "country_code": "US",
            "telephone_number": "186-010-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST ONGE",
        "first_name": "LAUREN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-29",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "568946544",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "5874",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "N",
            "address_1": "1860 Atkinson Rd Ste 101",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300435066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.