Organization Active NPI

Pro Active Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • Englewood, CO
National Provider Identifier
1285039016
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
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

Updated by the provider on Jun 4, 2015

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.