Lorelei Dennis

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

10973 Issued in CO

Practice address

155 Printers Pkwy Ste 125
Colorado Springs, CO 80910-6102

Phone

(719) 635-8622

Fax

(719) 635-8619

NPI assigned

Nov 4, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Revolution Rehabilitation P. C.

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
  • NPI 1578626248
  NPD (past)

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1265733463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ELK PATH",
            "city": "MANITOU SPRINGS",
            "state": "CO",
            "postal_code": "808292112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 PRINTERS PKWY STE 125",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809106102",
            "telephone_number": "719-635-8622",
            "fax_number": "719-635-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "LORELEI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "10973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Denison
• Tanner Denn
• Patricia Louise Dennard, LPC, NCC, RPT
• Ryan E Denney, M.S., BCBA
• Brandon Dennis
• Samantha Dennis
• Jiliana Denny
• Olivia Mercedes Denny
• Jenna Denoyer
• Dental Arts Center

• Physical Therapy Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, 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 Nov 4, 2010; 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.