Individual provider Active NPI

Marie Dreher Pollock, PT, DPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1194297374
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16142 Issued in CO
Practice address
1721 E 19TH Ave Ste 468
Denver, CO 80218-1242
Phone
(303) 830-0018
NPI assigned
Dec 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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 16142 CO Primary

Addresses

Primary practice location

1721 E 19TH Ave Ste 468
Denver, CO 80218-1242

Mailing address

1721 E 19TH Ave Ste 468
Denver, CO 80218-1242
Phone (303) 830-0018

Other practice location 1

251 Violet St Ste 150
Golden, CO 80401-6724
Phone (303) 279-6000

Other names 1

  • Marie Alyssa Dreher Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191004000283 CO Practitioner - Physical Therapist in Private Practice 0941531008 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16142COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Orthopedics & Spine Center, PC CurrentSince Aug 3, 2020 Accepting new patients
Panorama Orthopedics and Spine Center PC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 20, 2024 Accepting new patients
Denver Physical Therapy, P.C. Physical Therapist Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 20, 2024 Accepting new patients
TFL Provider Network LLC CurrentSince Apr 10, 2023 Accepting new patients
Denver Physical Therapy, P.C. Physical Therapist CurrentSince Sep 3, 2019 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Aug 3, 2020 Accepting new patients
Denver Physical Therapy, P.C. Physical Therapist CurrentSince Sep 3, 2019 Accepting new patients

Locations

24300 E Smoky Hill Rd
Unit 126
Aurora, CO 80016
Phone (303) 680-1772

1721 E 19th Ave
Ste 468
Denver, CO 80218
Phone (303) 830-0018

1601 E 19th Ave
Ste 4550
Denver, CO 80218
Phone (303) 830-0018

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

3996 Red Cedar Dr
Unit A6
Highlands Ranch, CO 80126
Phone (303) 800-2829

18700 Plaza Dr
Parker, CO 80134
Phone (303) 805-9375

19201 E Mainstreet
Ste 205
Parker, CO 80134
Phone (303) 489-7893

Organizations & group practices 9

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": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1194297374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 E 19TH AVE STE 468",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181242",
            "telephone_number": "303-830-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 E 19TH AVE STE 468",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181242",
            "telephone_number": "303-830-0018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 Violet St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Golden",
            "state": "CO",
            "postal_code": "804016724",
            "country_code": "US",
            "telephone_number": "303-279-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "MARIE",
        "middle_name": "DREHER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-27",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "16142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "DREHER",
            "middle_name": "ALYSSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.