Active NPI
Lodina Marlene Weingardt, PTA
- Physical Therapy Assistant
- Brush, CO
National Provider Identifier
1194374009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA.0013381
- Practice address
- 2200 Edison St
Brush, CO 80723-1609 - Phone
- (970) 842-2825
- NPI assigned
- Sep 4, 2019
- 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 Therapy Assistant | 225200000X | PTA.0013381 | CO | Primary |
Addresses
Primary practice location
2200 Edison St
Brush, CO 80723-1609
Mailing address
2200 Edison St
Brush, CO 80723-1609
Phone (970) 842-2825
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | SunsetManor |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA.0013381 | CO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1194374009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 EDISON ST",
"city": "BRUSH",
"state": "CO",
"postal_code": "807231609",
"telephone_number": "970-842-2825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 EDISON ST",
"city": "BRUSH",
"state": "CO",
"postal_code": "807231609",
"telephone_number": "970-842-2825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINGARDT",
"first_name": "LODINA",
"middle_name": "MARLENE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-04",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CO",
"license": "PTA.0013381",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "SunsetManor",
"affiliation": "N",
"endpointDescription": "Skilled nursing",
"address_1": "2200 Edison St",
"city": "Brush",
"state": "CO",
"country_code": "US",
"postal_code": "807231609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Brush, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.