Active NPI
Pro Active Podiatry PC
- Foot & Ankle Surgery Podiatrist
- Englewood, CO
National Provider Identifier
1285039016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- PRO ACTIVE PODIATRY PC
- Practice address
- 3535 S Lafayette St
Suite 110
Englewood, CO 80113-3957 - Phone
- (720) 600-2240
- Fax
- (720) 310-2162
- NPI assigned
- Oct 22, 2014
- 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
- Lee Ann Rewey
- Title
- Accounting
- Phone
- (972) 248-3191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
3535 S Lafayette St
Suite 110
Englewood, CO 80113-3957
Mailing address
1476 S Josephine St
Denver, CO 80210-2428
Phone (720) 600-2240
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433376000000",
"number": "1285039016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1476 S JOSEPHINE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802102428",
"telephone_number": "720-600-2240",
"fax_number": "720-310-2162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 S LAFAYETTE ST",
"address_2": "SUITE 110",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801133957",
"telephone_number": "720-600-2240",
"fax_number": "720-310-2162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRO ACTIVE PODIATRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-22",
"last_updated": "2015-06-04",
"status": "A",
"authorized_official_last_name": "REWEY",
"authorized_official_first_name": "LEE ANN",
"authorized_official_title_or_position": "ACCOUNTING",
"authorized_official_telephone_number": "972-248-3191"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.