Individual provider Active NPI

Koren Lavi, PT, DPT

  • Physical Therapist
  • Parker, CO
National Provider Identifier
1366937799
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0015660 Issued in CO
Practice address
16522 Keystone Blvd Ste N
Parker, CO 80134-3302
Phone
(303) 840-7325
NPI assigned
Jun 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0015660 CO Primary

Addresses

Primary practice location

16522 Keystone Blvd Ste N
Parker, CO 80134-3302

Mailing address

16522 Keystone Blvd Ste N
Parker, CO 80134-3302
Phone (303) 840-7325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0015660COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Osteo of Colorado LLC Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients
Restore Osteo of Colorado LLC Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients

Locations

1421 S Potomac St
Ste 330
Aurora, CO 80012
Phone (303) 696-2131

400 Indiana St
Ste 280
Lakewood, CO 80401
Phone (303) 216-2661

9195 Grant St
Ste 305
Thornton, CO 80229
Phone (303) 216-2661

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": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1366937799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16522 KEYSTONE BLVD STE N",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343302",
            "telephone_number": "303-840-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16522 KEYSTONE BLVD STE N",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343302",
            "telephone_number": "303-840-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVI",
        "first_name": "KOREN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0015660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.