Individual provider Active NPI

Dawn Kervin

  • Physical Therapist
  • Wheat Ridge, CO
National Provider Identifier
1265616387
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
7777 W 38TH Ave Unit A120
Wheat Ridge, CO 80033-6170
Phone
(303) 940-0757
NPI assigned
Dec 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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 CO Primary

Addresses

Primary practice location

7777 W 38TH Ave Unit A120
Wheat Ridge, CO 80033-6170

Mailing address

7777 W 38TH Ave Unit A120
Wheat Ridge, CO 80033-6170
Phone (303) 940-0757

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

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1265616387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 W 38TH AVE UNIT A120",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336170",
            "telephone_number": "303-940-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 W 38TH AVE UNIT A120",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336170",
            "telephone_number": "303-940-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERVIN",
        "first_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.