Individual provider Active NPI

Lisa L Wilcox, DPT

  • Physical Therapist
  • Westminster, CO
National Provider Identifier
1265536650
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9259 Issued in CO
Practice address
12365 Huron St Ste 1800
Westminster, CO 80234-3297
Phone
(720) 369-7738
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 9259 CO
Physical Therapist 225100000X 9259 CO Primary

Addresses

Primary practice location

12365 Huron St Ste 1800
Westminster, CO 80234-3297

Mailing address

12365 Huron St Ste 1800
Westminster, CO 80234-3297
Phone (720) 369-7738

Other practice location 1

11152 Clayton Street
Northglenn, CO 80233
Phone (720) 369-7738

Other practice location 2

12301 Grant St Unit 210
Thornton, CO 80241-3130
Phone (720) 369-7738

Other names 1

  • Dr. Lisa L Fowler Former name

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

LicenseStateTypeSpecialty
9259COMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Solstice Healthcare Resources Physical Therapist Current Accepting new patients

Locations

12365 Huron St
Ste 1800
Westminster, CO 80234
Phone (970) 528-5030

Organizations & group practices 1

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265536650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12365 HURON ST STE 1800",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802343297",
            "telephone_number": "720-369-7738",
            "fax_number": "303-583-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12365 HURON ST STE 1800",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802343297",
            "telephone_number": "720-369-7738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11152 Clayton Street",
            "address_purpose": "LOCATION",
            "city": "Northglenn",
            "state": "CO",
            "postal_code": "80233",
            "country_code": "US",
            "telephone_number": "720-369-7738",
            "fax_number": "303-583-8316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12301 Grant St Unit 210",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802413130",
            "country_code": "US",
            "telephone_number": "720-369-7738",
            "fax_number": "303-583-8316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "LISA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "9259",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "9259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "FOWLER",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.