Individual provider Active NPI

Tara Pace, DPT

  • Physical Therapist
  • Lakewood, CO
National Provider Identifier
1275968810
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0013661 Issued in CO
Practice address
7390 W Eastman PL
Lakewood, CO 80227-5039
Phone
(720) 504-7030
NPI assigned
Sep 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9357 MN
Physical Therapist 225100000X PTL.0013661 CO Primary

Addresses

Primary practice location

7390 W Eastman PL
Lakewood, CO 80227-5039

Mailing address

7390 W Eastman PL
Lakewood, CO 80227-5039
Phone (720) 504-7030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220120001962 CO Practitioner - Physical Therapist in Private Practice 9436541638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

10001 S Oswego St
Parker, CO 80134-3786
Phone (720) 386-5023

14501 E Crestline Dr
Centennial, CO 80015-2559
Phone (303) 918-1219

333 S Eaton St
Lakewood, CO 80226-3544
Phone (303) 937-3188

5275 S Kipling Pkwy
Littleton, CO 80127-1705
Phone (720) 770-1322

6383 E Girard PL
Denver, CO 80222-7447
Phone (720) 221-4266

7390 W Eastman Place
Lakewood, CO 80227-5039
Phone (720) 504-7030

8160 W Coal Mine Ave
Littleton, CO 80123-4431
Phone (720) 845-2517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0013661COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc. Physical Therapist CurrentSince Jan 11, 2022 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Jan 11, 2022 Accepting new patients

Locations

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Organizations & group practices 2

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": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1275968810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7390 W EASTMAN PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275039",
            "telephone_number": "720-504-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7390 W EASTMAN PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275039",
            "telephone_number": "720-504-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "TARA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "9357",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0013661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.