Active NPI
Heather Lane Physical Therapy and Wellness LLC
- Physical Therapist
- Denver, CO
National Provider Identifier
1275047144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0013308
- Legal business name
- HEATHER LANE PHYSICAL THERAPY AND WELLNESS LLC
- Practice address
- 425 S Cherry St Ste 380
Denver, CO 80246-1230 - Phone
- (708) 415-0827
- NPI assigned
- Nov 29, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick H Donovan, PT, DPT
- Title
- Owner/Physical Therapist
- Phone
- (720) 507-3962
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0013308 | CO | Primary |
| Orthopedic Physical Therapist | 2251X0800X | PTL.0013308 | CO | |
| Physical Therapy Clinic/Center | 261QP2000X |
Addresses
Primary practice location
425 S Cherry St Ste 380
Denver, CO 80246-1230
Mailing address
425 S Cherry St Ste 380
Denver, CO 80246-1230
Phone (708) 415-0827
Other names 1
- Heather Lane Physical Therapy
National Provider Directory
National Provider DirectoryLocations
425 S Cherry St
Ste 380
Denver, CO 80246
Phone (708) 415-0827
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604534400000",
"number": "1275047144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 S CHERRY ST STE 380",
"city": "DENVER",
"state": "CO",
"postal_code": "802461230",
"telephone_number": "708-415-0827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 S CHERRY ST STE 380",
"city": "DENVER",
"state": "CO",
"postal_code": "802461230",
"telephone_number": "708-415-0827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEATHER LANE PHYSICAL THERAPY AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-29",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A",
"authorized_official_last_name": "DONOVAN",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "720-507-3962",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CO",
"license": "0013308",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "CO",
"license": "PTL.0013308",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Heather Lane Physical Therapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Heather Lane Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.