Active NPI
Koren Lavi, PT, DPT
- Physical Therapist
- Parker, CO
National Provider Identifier
1366937799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0015660
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0015660 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restore Osteo of Colorado LLC | Physical Therapist | Current | Accepting new patients |
| Restore Osteo of Colorado LLC | Physical Therapist | Current | 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.
-
- Internal Medicine Physician
- Greeley, CO
- NPI 1417670142
Physical Therapist
-
- Internal Medicine Physician
- Golden, CO
- NPI 1619581246
Physical Therapist
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.