Individual provider Active NPI

Ivy Lauren Strantz, DPT

  • Physical Therapist
  • Golden, CO
National Provider Identifier
1104366004
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17577 Issued in CO
Practice address
660 Golden Ridge Rd Ste 130
Golden, CO 80401-9541
Phone
(303) 275-2190
NPI assigned
Feb 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PTL.0017577 CO
Physical Therapist 225100000X 17577 CO Primary
Physical Therapist 225100000X 12319 TN

Addresses

Primary practice location

660 Golden Ridge Rd Ste 130
Golden, CO 80401-9541

Mailing address

11 W Dry Creek CT
Littleton, CO 80120-4484
Phone (303) 795-0428

Other practice location 1

206B Oxford Rd
New Albany, MS 38652-3115
Phone (662) 534-4445

Other practice location 2

206B Oxford Rd
New Albany, MS 38652-3115
Phone (662) 534-4445

Other practice location 3

3045 Kate Bond Rd
Memphis, TN 38133
Phone (901) 937-3200

Other practice location 4

11 W Dry Creek Ct
Littleton, CO 80120-4484
Phone (303) 795-0428

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
17577COMDPhysical Therapist
12319TNMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Group PC Physical Therapist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1104366004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W DRY CREEK CT",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204484",
            "telephone_number": "303-795-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 GOLDEN RIDGE RD STE 130",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804019541",
            "telephone_number": "303-275-2190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206B Oxford Rd",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523115",
            "country_code": "US",
            "telephone_number": "662-534-4445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206B Oxford Rd",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523115",
            "country_code": "US",
            "telephone_number": "662-534-4445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3045 Kate Bond Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "38133",
            "country_code": "US",
            "telephone_number": "901-937-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 W Dry Creek Ct",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801204484",
            "country_code": "US",
            "telephone_number": "303-795-0428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRANTZ",
        "first_name": "IVY",
        "middle_name": "LAUREN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-27",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "PTL.0017577",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "17577",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.