Individual provider Active NPI

Rebecca A White, PT, DPT, GCS

  • Geriatric Physical Therapist
  • Lakewood, CO
National Provider Identifier
1417539933
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PTL.0012700 Issued in CO
Practice address
7390 W Eastman PL
Lakewood, CO 80227-5039
Phone
(303) 988-2848
NPI assigned
Apr 23, 2021
Last updated
Apr 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X PTL.0012700 CO Primary

Addresses

Primary practice location

7390 W Eastman PL
Lakewood, CO 80227-5039

Mailing address

19468 W 52ND Dr
Golden, CO 80403-2171
Phone (303) 717-1072

Other names 1

  • Rebecca A Williams Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Lakewood Legacy Healthcare Services

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250126000029 CO Practitioner - Physical Therapist in Private Practice 5991234627 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0012700COMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jan 17, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jan 17, 2025 Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 17, 2025 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

8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100

Organizations & group practices 4

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": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1417539933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19468 W 52ND DR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804032171",
            "telephone_number": "303-717-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7390 W EASTMAN PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275039",
            "telephone_number": "303-988-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "REBECCA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, GCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CO",
            "license": "PTL.0012700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Lakewood",
            "affiliation": "Y",
            "endpointDescription": "Legacy Healthcare Services",
            "affiliationName": "Legacy Healthcare Services",
            "address_1": "7390 W Eastman Pl",
            "city": "Lakewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802275039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "WILLIAMS",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.