Individual provider Active NPI

Cathryn Dake, DPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1407605306
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0018196 Issued in CO
Practice address
501 S Cherry St FL 11
Denver, CO 80246-1325
Phone
(866) 839-6979
Fax
(916) 913-5646
NPI assigned
May 14, 2024
Last updated
May 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2024

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.0018196 CO Primary

Addresses

Primary practice location

501 S Cherry St FL 11
Denver, CO 80246-1325

Mailing address

501 S Cherry St FL 11
Denver, CO 80246-1325
Phone (866) 839-6979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240603002105 CO Practitioner - Physical Therapist in Private Practice 4587106851 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince May 21, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince May 21, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince May 21, 2024 Accepting new patients
Theraphysics Partners of Colorado, Inc. Past Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Past Accepting new patients
Select Physical Therapy of Denver LTD Physical Therapist Past Accepting new patients
Theraphysics Partners of Colorado Inc Past Accepting new patients

Locations

500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1407605306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S CHERRY ST FL 11",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461325",
            "telephone_number": "866-839-6979",
            "fax_number": "916-913-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S CHERRY ST FL 11",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461325",
            "telephone_number": "866-839-6979",
            "fax_number": "916-913-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAKE",
        "first_name": "CATHRYN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0018196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.