Active NPI
Lisa Ann Keen, PT
- Physical Therapist
- Denver, CO
National Provider Identifier
1134208176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0012415
- Practice address
- 535 E Mississsippi Ave
Denver, CO 80210 - Phone
- (918) 845-0171
- Fax
- (918) 845-0171
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0012415 | CO | Primary |
Addresses
Primary practice location
535 E Mississsippi Ave
Denver, CO 80210
Mailing address
1026 Dogwood Dr
Golden, CO 80401-9216
Phone (918) 845-0171
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0012415 | CO | MD | Physical Therapist |
| 12415 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1134208176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1026 DOGWOOD DR",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804019216",
"telephone_number": "918-845-0171",
"fax_number": "918-845-0171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 E MISSISSSIPPI AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "80210",
"telephone_number": "918-845-0171",
"fax_number": "918-845-0171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEN",
"first_name": "LISA",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0012415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.