Elizabeth M Pettit, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2906 Issued in CO

Practice address

1450 E Valley Rd
Suite 203 Roaring Fork PT
Basalt, CO 81621

Phone

(970) 927-9319

Fax

(970) 927-0168

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Roaring Fork Physical Therapy, PC

  • Orthopedic Physical Therapist
  • Basalt, CO
  • NPI 1295866770
  NPD (past) Authorized official

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104850239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1764",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "81621",
            "telephone_number": "970-927-9319",
            "fax_number": "970-927-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E VALLEY RD",
            "address_2": "SUITE 203 ROARING FORK PT",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "81621",
            "telephone_number": "970-927-9319",
            "fax_number": "970-927-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "2906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula J Barclay, M.D., P.C.
• Christopher J Perry
• Frederick Elias Persiko, M DIV., CACITI
• Katherine Peshek
• Peter Grotuss MD PC
• Tomas Pevny, MD
• Phoenix Fitness, Inc.
• Barbro Anna Pilch, D.D.S.
• Karmen M Pittenger, MSW
• Connor Pokorney, PT, DPT

• Physical Therapist in Basalt, CO
• Providers in Basalt, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.