Active NPI
Tara Pace, DPT
- Physical Therapist
- Lakewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0013661
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0013661 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc. | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current | 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.
-
- Physical Therapist
- Denver, CO
- NPI 1164620084
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
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.