Prestige Healthcare Associates, Lpa

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

6107 Issued in CO

Legal business name

PRESTIGE HEALTHCARE ASSOCIATES, LPA

Practice address

1805 Kipling St
Suite 109
Lakewood, CO 80215-2873

Phone

(303) 232-7800

Fax

(303) 232-7802

NPI assigned

May 29, 2008

Organization subpart

No

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

Authorized official

Name

Merichele Fojut, P.T.NPI 1497785570

Title

Chief Executive Officer

Phone

(303) 232-7800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Merichele Fojut, P.T.

  • Physical Therapist
  • Lakewood, CO
  • NPI 1497785570

  CO, Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1225296809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 KIPLING ST",
            "address_2": "SUITE 109",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802152873",
            "telephone_number": "303-232-7800",
            "fax_number": "303-232-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 KIPLING ST",
            "address_2": "SUITE 109",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802152873",
            "telephone_number": "303-232-7800",
            "fax_number": "303-232-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE HEALTHCARE ASSOCIATES, LPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "FOJUT",
        "authorized_official_first_name": "MERICHELE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "303-232-7800",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "6107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Paula Prentice, PHD
• Prestine Pharmacies Inc
• Preston Aronson DC LLC
• Danielle Johns Preston
• Lynnae Prevo, PA-C
• Jason Prezant, LPCC

• Physical Therapy Clinic/Center in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.